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EATING DISORDERS in Schools
School Social Work Section Connection | Winter 2013
LYNN BYE, PHD BRIDGET HINES

Social workers in schools are typically called to be advanced generalists, and responding to eating disorders should be among their many competencies. School social workers and support staff must be aware of the common signs of eating disorders and take precautions to protect the students in their schools. Eating disorders can present serious physical and emotional obstacles to learning. They also have the highest mortality rate among all mental disorders (Galson, 2009; Keel & Herzog, 2004). According to the South Carolina Department of Mental Health, 95 percent of the individuals with eating disorders are between the ages of 12 and 25 (South Carolina Department of Mental Health, 2006)—a statistic that verifies students’ higher risk for eating disorders. Therefore, such disorders should be a particular area of concern for school social workers.

 
PRESIDENT OBAMA NOMINATES THREE TO DC CIRCUIT COURT: Why Should Social Workers Care?
Social Workers and the Courts Section Connection | Winter 2013
MELVIN WILSON, MBA, LCSWC

has been widely reported that President Obama has taken the extraordinary step of nominating three individuals to fill the remaining vacancies of the U.S. Court of Appeals for the District of Columbia Circuit (also known as the D.C. Circuit Court) This step is extraordinary because: (1) There is a critical need to fill all the vacancies on this important court and (2) submitting multiple nominations is a White House strategy to protect against filibustering against the President’s judicial nominees. President Obama’s Nominees The three nominees include highly qualified candidates who are diverse in terms of gender and ethnicity. The nominees are: Patricia Ann Millett, a white woman who is an a prominent appeals lawyer in Washington, D.C., Cornelia Pillard, a white woman who is currently a highly regarded law professor at Georgetown University, and Robert Leon Wilkins, an African American man who was appointed to the United States District Court for the District of Columbia in 2009. Judge Wilkins successfully argued a milestone racial profiling case (Wilkins v. Maryland) in 1994 (http://judgepedia.org/index. php/Robert_Leon_Wilkins).

 
BOOK SUMMARY: Social Work Documentation: A Guide to Strengthening Case Recording
Social Workers and the Courts Section Connection | Winter 2013
KATHRYN DIXON, MSW, LCSW, LMSW, DABFC, FACFEI

When asked to review a book about social work documentation, I must admit my initial thoughts were not embracing of the prospect of reading about documentation. Having given related trainings in a variety of contexts, with students and colleagues, and across interdisciplinary settings; eyes glaze over. This book review is for “Social Work Documentation: A Guide to Strengthening Case Recording” published in 2011 by the NASW Press. Nancy L. Sidell, PhD, the author, thanks numerous people and shows that documenting her book was truly a group process. Among her accomplishments, Dr. Sidell is chair of the Social Work Department at Mansfield University in Pennsylvania, has authored numerous journal articles, and has practiced in a variety of settings for two decades. A cursory review of professional literature in the field is included in this book, as well as a variety of NASW Press pamphlets on confidentiality, privileged information, the Code of Ethics and Standards of Practiceseries. Sidell’s organization of the book and its topic areas are well-laid out for the reader. Attention to documentation is critical to the future of our profession; supervisors and teachers should take note to put more emphasis on assisting students and interns with their writing skills. The book’s audience covers a wide continuum of social workers. Sidell’s accuracy is spot on – it is quite difficult to capture everything because social workers provide so many different services. She addresses the global areas which all social workers will need to document, while still accounting for the unique ways various settings must document distinct information.

 
ADDICTION and Family
ATOD Section Connection | Winter 2013
JOAN GALLIMORE, MSW, LCSW, CSI

Anyone who has watched the A&E channel show Intervention” has seen what addiction does to the individual and to the family. The show mostly focuses on the person with the addiction, but what happens with the family in the process of addiction? Family members can develop patterns of functioning that actually support addictive behaviors. On “Intervention,” families have the opportunity to see how their decisions and behaviors reinforce the addiction itself. Most people struggle to understand that they are contributing to the system because the obvious problem is the addiction, right? If the person could stop using, then everyone else would be okay. Unfortunately, the situation is more complicated than merely stopping the addictive use of substances—that is the tip of the iceberg. Family work is credited as one of the major contributing factors to recovery. How does family work influence the person with the addiction?

 
FINDING JOY
Health Section Connection | Winter 2013
DAVID POOLER, PHD, MSSW • TERRY WOLFER, PHD, MSW • MIRIAM L. FREEMAN

Do social workers find joy in their work? If so, how? As three curious professors of social work, we set out to investigate these questions. Our curiosity was sparked by our interest in positive psychology (e.g., Peterson, 2006; Seligman & Csikszentmihalyi, 2000) and appreciative inquiry (AI; e.g., Cooperrider & Whitney, 2005), newly emerging practice fields in psychology and organizational development, respectively. In contrast to psychology’s traditional emphasis on pathology, positive psychology is concerned with individual, organizational, community, and societal experiences that relate to health and well-being, contentment, satisfaction, flow, happiness, hope, and optimism. This perspective focuses on the study of what makes life worth living, how individuals make meaning and purpose out of their lives, and how institutions, such as workplaces, foster satisfaction among its members. AI focuses on a search for the best in people and on what gives life to human systems. Simply put, AI purports that what we as humans focus on and pay attention to is what expands in our lives. In other words, focus on what is going well and that is what grows in us. Focus on pathology and problems, and these negatives will multiply in our lives.

 
CREATING A STANDARD PROTOCOL for Domestic Minor Sex Trafficking Victims: How Child Welfare Workers Can Better Facilitate Protections Under the Guise of the TVPA
Children, Adolescents, Youth and Family Section Connection | Winter 2013
JACQUELYN C.A. MESHELEMIAH, PHD AMANDA L. POOLE, BSSW ERIN MICHEL, MSW

The Trafficking Victims Protection Act (TVPA) of 2000 and its subsequent reauthorizations in 2003, 2005, and 2008 were implemented to combat trafficking in persons (H.R. 2620 [2003]; H.R. 972 [2005]; H.R. 7311 [2008]; Public Law [P.L.] 106-386). Specific to minors, the act definitively stipulates that any person under 18 years of age who is induced to perform a commercial sex act is a victim of a severe form of trafficking (P.L. 106-386). Shared Hope International has coined the term “domestic minor sex trafficking” to describe this phenomenon. The intent of this paper is to discuss how the tenets of the TVPA can be used by workers in the child welfare arena as a conduit for creating a standard protocol for domestic minor sex trafficking (DMST) victims.

 
HIRING AND SUPERVISING Returning Veterans
Administration/Supervision Section Connection | Winter 2013
DOROTHY E. NORTHROP, MSW, ACSW

As the war in Iraq winds down and troops withdraw from Afghanistan, thousands of veterans are leaving the military and seeking jobs in the public and private sectors. For social work administrators and supervisors, this can be a rich opportunity to fill positions with individuals who have developed unique skills through life experience and training, and who have demonstrated an ability to perform under pressure and engage in a greater cause. When hiring returning veterans, it is important that the workplace is welcoming and sensitive to their military experience and that staff have been trained to interact appropriately in terms of questions to ask and statements to make—particularly if the veteran has returned to civilian life with a disability.

 
SENIOR VETERAN BENEFITS— An Underutilized Resource
Aging Section Connection | Special Edition 2013
CHARLES CHRISTIAN WHITLOCK, LCSW, MSW, CSW-G, CDP BARBARA BOGUSLAWA GORAL LOIS MILLNER, PHD

Many studies have indicated that veteran benefits are underutilized, but few studies reveal how much veterans and their spouses know about these benefits. Veterans and spouses of veterans may be eligible for a number of veteran benefits that they know little about. In this study, a survey was distributed to seniors in five Wesley Enhanced Living retirement communities in southeastern Pennsylvania. In total, 137 (n = 137) veterans and spouses of veterans formed the sample for the study. The purpose of this study was to determine the knowledge base of senior veterans and their spouses regarding veteran benefits. It also explored which benefits this population would like to learn more about. Findings suggest that most of the senior veterans and spouses lacked knowledge about veteran benefits like health care, prescriptions, serviceconnected disability, pension, education and training, home loan guaranty, life insurance, burial and memorial benefits, transition assistance, and dependent and survivor benefits. The implications of this study on future practice with veterans and spouses of veterans are also discussed.

 
BARRIERS TO Mental Health for African Americans
Mental Health Section Connection | Special Edition 2013
JOYCE A. JAMES, LCSW

It is reported that African Americans tend to be less likely than whites to seek therapy when struggling to resolve psychological and emotional problems. One reason why African Americans do not seek out therapy is the stigma surrounding mental health. Many do not want their peers knowing that they sought out mental health services. Research also supports the claim that African Americans who are low-income and depressed are more inclined to deny needed treatment while others who do receive help have a high chance of terminating treatment prematurely. In addition, sometimes complaints are misrepresented as somatic rather than emotional resulting in undetected depression. Collectively, all these findings indicate that many African Americans who suffer from high rates of depression do so undetected and untreated, a clear public health concern. (Center for Addiction and Behavioral Health Research)

 
A HOSPITAL SOCIAL WORK RESPONSE to the Boston Marathon Bombings
Health Section Connection | Fall 2013
MARIE ELENA GIOIELLA, LICSW LISA SCHECK, LICSW

At 2:50 pm on April 15, 2013, the joyous scene at the finish line of the Boston Marathon was shattered by an explosion, which was followed moments later by a second blast. After being contacted by Boston Emergency Medical Services with a request for disaster capability, Massachusetts General Hospital (MGH) activated its Incident Command Center to mobilize resources in preparation for an influx of patients and families. Less than 15 minutes after the explosions, the first patient arrived at MGH; 30 more followed that afternoon. MGH Emergency Department (ED) social workers leapt into action. MGH is a level-one trauma center, and social workers there engage in trauma work on a daily basis, but the aftermath of the marathon bombings involved far higher levels of acuity. Confronted by a large number of severely injured patients who needed to be triaged quickly, ED social workers had little time to contribute to patient care in customary ways (for example, provide crisis intervention and counseling). Instead, they collaborated with the health care team to identify patients while fielding phone calls from worried loved ones in search of friends and family. One ED social worker related that there would have been “no way to prepare for the sensory overload” she experienced.

 
THE IMPORTANCE OF DEVELOPING COLLABORATIVE Relationships Between Spiritual Care Professionals and MSW Interns
Health Section Connection | Fall 2013
REV. DR. TERRY L. IRISH CHRISTINE S. CHESTER, MSW

INTRODUCTION This is a reflective discussion about the collaborative relationships developed between a board-certified chaplain and several clinical social work interns at City of Hope (COH). The purpose is to highlight the importance of developing such vital relationships so that MSW interns learn about the full spectrum of spiritual care services while they are finetuning their clinical tools. Clinical internships such as the ones described here are “the last classroom” before these graduate students complete their MSW degrees and launch into the dynamic environment that defines their future vocations. This discussion is offered in the hope that other hospitals will be encouraged to support interprofessional education.

 
DSM-5 CHANGES AND CONTROVERSIES: The Headline News, Part 2
Private Practice Section Connection | Fall 2013
JEROME C. WAKEFIELD, PHD, DSW

What is new in the DSM-5, why was it changed, and why are some of the changes so controversial? In part 1 of this three-part review of the DSM-5, I surveyed changes in the metastructure and organization of the manual, including the elimination of the multiaxial system and the regrouping of disorders in a different chapter structure. I then began a highly selective survey of some of the most controversial new categories and the most important changes to the diagnostic criteria for existing categories. In part 2, I complete my selective survey. In a forthcoming part 3, I will consider in more detail the one area where changes have garnered the most controversy: depressive and grief disorders.

 
SOCIAL MEDIA ETHICS in Social Work Practice
Private Practice Section Connection | Fall 2013
JULIE DE AZEVEDO HANKS, MSW, LCSW, BCD

The Internet and social media offer social workers unprecedented opportunities to educate communities, to advocate for disadvantaged populations, to raise awareness about their private practice and professional services, and to establish themselves as experts in their specialty areas. Because people search online for health related information, developing a strong online presence is increasingly important for social workers in private practice.

 
EQUINE- ASSISTED Psychotherapy and Learning: Horses Helping Humans
Private Practice Section Connection | Fall 2013
DONNA MAGLIO, LCSW

In a society that relies on the newest technology, takes medication for everything, and seeks immediate gratification, how often do you have your clients just stop and think outside the box? How often do you engage them physically as well as emotionally when searching for the answers to their issues? And how often do you use a 1,200-pound animal to provide those answers more clearly?

 
SCHOOL SOCIAL WORKERS AND VICARIOUS TRAUMA: Creating Tools for Building Resilience in the Workforce
School Social Work Section Connection | Fall 2013
EILEEN DOMBO, PHD, LICSW

Social workers in all settings are increasingly caring for survivors of trauma who have faced a variety of experiences, including interpersonal violence, community disruptions, natural disasters, and war (Sommer, 2008; Trippany, Kress, & Wilcoxon, 2004). Child maltreatment has become a major problem in the United States (Lawson, 2009). Children with disabilities are even more likely to experience abuse at the hands of those designated to provide them with a safe and nurturing environment (Herskowitz, Lamb, & Horowitz, 2007). The high likelihood that school social workers will be exposed to trauma through their work makes adequate training and education about the effects of the work on the worker a necessity. Additionally, given that the number of social workers in schools has been inadequate to meet the rising need to address mental health issues in children, we can understand how many school social workers struggle with job satisfaction and feeling supported in their work (Agresta, 2006). To support school social workers, education must keep pace with changes in the practice setting (Berzin & O’Connor, 2010), and the focus must be on professional resilience in the face of vicarious trauma. Appropriately addressing vicarious trauma will improve the well-being of school social workers so that they can effectively provide services to children and their families. This benefits schools and the community at large, because addressing vicarious trauma would bolster much needed retention efforts in the face of burgeoning demand and high turnover.

 
WHAT ABOUT THE BOYS? Should the High Drop-Out Rates and Over representation of Boys in Special Education Be of Concern to School Social Workers?
School Social Work Section Connection | Fall 2013
JOSEPH R. GIANESIN, PHD, LICSW

A proliferation of books and articles regarding boys has hit the market in recent years. Boys today are in crisis. The tragedy of school violence across the nation raises a growing concern regarding boys who publicly act out their social and emotional disconnection through acts of violence against themselves or others. Many boys who do not act out, silently struggle with feelings of loneliness, isolation, and depression. As a school social worker and a professor, I have always wondered how we should consider boys’ lives more directly and thoughtfully. I have observed through my clinical work and numerous school program consultations how dramatic the problems are for boys. We all have considerable investment in how our society describes and socializes boys to become men. In recent years, controversy about boys, men, and education has emerged on several fronts. A proposal to establish boys-only schools in Detroit and other major U.S. cities provoked strong reactions, but was halted in the end by ensuing legal action. Other cities like New York are embracing single-sex charter schools for inner city youth to help boys develop without the presence of their female counterparts. Many schools are launching special programs for boys without the benefit of research to guide them, often lacking careful thinking about what they hope to accomplish as an end product. Asserting that boys need advocacy tends to generate controversy. In recent years, the media and the academic community have focused their discussions of fairness in schools almost exclusively on girls and the ways they have been short-changed in a system that favors boys. In her book titled The War Against Boys: Harming Our Young Men, Christina Hoff-Sommers (2000) counters this argument but highlights the controversy. Often, the sexes are pitted against one another as to who should receive special attention in schools and other major social institutions. Authors such as Mary Pipher (1994) in Reviving Ophelia revealed the difficulties of growing up female. We now know that girls lose their true identity as they enter into their adolescence because of society’s gender stereotypes about girls. The real challenge is whether the public schools and society have responded in an appropriate manner to meet the needs of both sexes.

 
CO-OCCURRING DISORDERS: The Need for Specialized Training
ATOD Section Connection | Fall 2013
LAUREN GARNER

Substance abuse has costly and wide-ranging impacts on society. Since the days of the Puritans, it has been recognized as a substantial societal problem in our country, and the dangers posed to society from the use and abuse of alcohol, tobacco, and other drugs are severe (Corrigan, Bill, & Slater, 2009; Smith, Whitaker, & Weismiller, 2003). Because social workers are routinely asked to intervene in societal troubles, they often constitute the first line of defense and the first direct contact with those who abuse substances. This interaction occurs in various service delivery systems— community-based services, child welfare, medical settings, and employee assistance programs (Smith et al., 2003).

 
NEED FOR AGING SPECIALIST Social Work Intervention within Our Oldest Population’s Health Care Services
Aging Section Connection | Winter 2013
PHYLLIS PASTORE, MSW, PHD

What do you think about the doctors you visit? Do you fully trust them with your health care? Do you seek second opinions before treatment or surgery? Individuals born after the boomer generation will likely research the medical condition and ask for second opinions before any procedure or surgery. They usually get answers to their questions before taking action. Therefore, their belief, experience, and knowledge about the medical condition, doctors, and the medical profession in general influence the action taken. This may not be true for older adults seeking health care answers. The following examples demonstrate the interaction patterns between adults over the age of 75 and their physicians regarding their health care.

 
DSM-5 CHANGES AND CONTROVERSIES: The Headline News, Part 1
Private Practice Section Connection | Summer 2013
JEROME C. WAKEFIELD, PHD, DSW, LCSW

DSM-5 — the fifth edition of the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders — is here. This is an exciting time for clinicians. The DSM-5 revision process created an opportunity for open discussion of the nature of our patients’ problems and how best to conceptualize them. This resulted in controversies that became so heated that some critics went so far as to suggest that the DSM should be abandoned altogether in favor of the World Health Organization’s diagnostic manual, the International Classification of Disease (ICD), from which the DSM’s diagnostic codes are taken but which lacks the DSM’s detailed diagnostic criteria.

 
VIOLENCE in Social Work Practice
Private Practice Section Connection | Summer 2013
CHRISTINA E. NEWHILL, PHD, LCSW LYNN PURNELL HAGAN, PSYD, LCSW

INTRODUCTION Violence in the workplace continues to be a critical issue in this country for a wide range of workers who serve the general public, including convenience store clerks, cab drivers, teachers, nurses, and social workers. Violence actually happens relatively rarely, with, of course, some exceptions. Because the odds are usually in favor of violence not occurring, social workers can have a false sense of security and not take precautions necessary to ensuring their safety. When violence does occur, the effects can be devastating. Incidents of client violence toward social workers, including quite serious ones, are continuing to occur. Literature confirms that client violence toward social workers, both nationally and internationally, does occur and warrants action and concern.

 
THE USES OF SOCIAL MEDIA
Administration/Supervision Section Connection | Summer 2013
PHYLLIS MENSH BROSTOFF, CISW, ACSW, CMC

The Internet used to be a storage locker of information, but now it is dominated by more conversations than anyone could ever have imagined a few years ago. The unique “interactive dialogue” that is instant messaging (IM), blogging, Facebook, Twitter, LinkedIn, email, Skype, and smart phone apps constitutes the current group of the most popular social media communication tools. Most social work supervisors probably have some knowledge of them, but they might not be actively using them.

 
GERIATRIC SOCIAL WORKERS: Preparing for the Implementation of the Affordable Care Act
Aging Section Connection | Summer 2013
FORREST HONG, LCSW, C-ASWCM

The Affordable Care Act (ACA) was signed into law in 2012 and is set to be implemented in January 2014. Many states are currently preparing for what appears to be a major change in our current health care services. It is anticipated that many changes will affect current private insurance, Medicare, Medicaid (MediCal in California), and dual benefits for those who receive both Medicare and Medicaid. In many cases, it is not unusual for many health care plans to begin implementing some aspects of the ACA, such as providing preventive health services with no co-payment in preparation for this policy change. The key issue is for geriatric social workers to be prepared for changes and the effects they may have on our current methods of practice.

 
SOLUTION-FOCUSED BRIEF TREATMENT & CRISIS RESPONSES: Crisis as a ‘Window for Change’
Children, Adolescents, Youth and Family Section Connection | Summer 2013
MO YEE LEE, PHD, MSW

Despite crisis being usually understood as an expected and disruptive event, the Chinese translation of the word “crisis” consists of two separate characters: 危and 機. The word 危usually means “danger.” Also, it can mean unsafe, disaster, or even death. The word 機has several different but connected levels of meaning. 機can refer to significant turning points or things that can be turned or moved. In addition, there is a time dimension to it, signifying that it is the right time to take a different course. The word 機 also has an action dimension that describes a sense of quickness to seize the opportunity for positive change or to go with the tide of change. Taken together, the Chinese translation of the word “crisis” is fascinating because of the polarized process being described: crisis can potentially be a time of danger, unsafe, disaster, or even death. The other side of it, however, is exactly the opposite of danger: it is a turning point—the exact right time—for positive change that requires quickness and flexibility to flow with the change process. In some ways, the meaning of crisis coincides with that of the yin-yang symbol: the presence of two seemingly opposite but closely connected parts of a phenomenon.

 
RECONSTRUCTING HOPE, Resurrecting Our Lives after Newtown
Children, Adolescents, Youth and Family Section Connection | Summer 2013
JOSHUA L. MILLER, PHD, LICSW

have responded to many tragedies in my career—both natural and human caused— but the Newtown, Connecticut, tragedy, or “12-14” as many local residents refer to it, has shaken my confidence and faith about what I and others can do. Perhaps it is the sheer horror of trying to empathically imagine young children being shot multiple times at point-blank range, or the images that are carried by survivors, or what it was like for responders as they entered the scene of this catastrophe. This is a challenging situation to engage with in our imaginations, let alone respond to, even for the most seasoned of social workers. And yet when I think of the teachers who gave their lives trying to protect children and the courage of the parents, siblings, classmates, teachers, friends, neighbors, and others who have come together to support one another, to pick up the pieces of shattered hearts, and to work to repair a torn community, I can begin to regain a sense of hope: hope about the human capacity to survive even the most alienating and tragic circumstances imaginable and hope about the “better angels of our nature” (Pinker, 2011) being able to transcend the forces of destruction that all human beings are capable of harboring. And hope is precisely what people who have been touched by this tragedy sorely need. I do not mean hope in the sense that we quickly move on to something else or that we minimize the wounds and scars that many will carry for the rest of their lives; I mean hope in our capacity as human beings to reconnect with one another and to rebuild our lives—as changed as they may be—and to work to transmute heartbreak into sources of meaning and inspiration.

 
DO ‘MATCH PARTIES’ Have a Place in Today’s Child Welfare Practice?
Child Welfare Section Connection | Summer 2013
SUSAN BADEAU

In 1980, armed with nothing more than good intentions and big dreams, my husband and I walked into our local adoption agency and announced that we wanted to adopt a child. Because I was carrying our sixweek-old baby in my arms, our request was met with looks of surprise and even incredulity. Clearly—although we were quite young—we were not the infertile couple seeking a newborn baby that the agency was expecting when they made our intake appointment. The social worker who interviewed us began by asking what type of child we thought we might want to adopt, and we were ready with our answer: “a child most in need of a home…and least likely to get one.”

 
OUR AMERICAN VIOLENCE TRIFECTA: Bullying, Mental Health & Gun Safety
Social Workers and the Courts Section Connection | Summer 2013
KATHRYN DIXON, MSW, LCSW, NCPC

What caused the United States to start focusing on bullying? I wish I could say my own interest in this subject began in adulthood, as a concerned social worker, but the reality is that I, like many of you, was bullied in my youth. During the past decade, hardly a week has gone by when I haven’t read or heard of a violent tragedy befalling a family in America. I can recall exactly where I was more than 10 years ago, on April 20, 1999— I was talking with a colleague in her office in the juvenile division of the family court— when I heard the radio announcer report on the events unfolding in Columbine, Colorado. Investigators eventually learned that Eric Harris and Dylan Klebold—the two high school students who went on the shooting spree that killed 12 classmates, a teacher, and then themselves—endured years of bullying. They had left suicide notes that called their actions a “revenge killing” to get back at those who had bullied them for years. As an adult, I am most concerned about how the nature and methods of bullying have intensified. The rise of the Internet and electronic communications laid the groundwork for epidemic levels of hurtful rumor. Access to weapons added fuel to the fire. I am struck by what has—and has not—changed about youth violence in more than 10 years. Before I sat down to review and edit this article, I opened the newspaper, as I do every morning, to find headlines once again related to our American violence trifecta: bullying, mental health, and gun safety.

 
NEW YORK Secure Ammunition and Firearms Act (SAFE) of 2013: Implications for Social Work Practice
Social Workers and the Courts Section Connection | Summer 2013
GEORGE T. PATTERSON, PHD, LCSW-R

The New York Secure Ammunition and Firearms Act (SAFE) of 2013 is among the toughest state gun laws in the country and the first to pass both the state house and senate since the fatal school shooting in Sandy Hook, Connecticut. New York State Governor Cuomo signed SAFE into law on January 15, 2013. Among the provisions of this legislation are: limits on the ability for individuals convicted of felonies to obtain a firearm; limits for individuals with mental illness who are assessed as dangerous to access weapons; a ban on high-capacity rounds, limiting any magazine that holds more than seven rounds; a requirement for immediate background checks on all ammunition purchases, required tracking of ammunition purchases as they occur; a requirement for individuals to recertify their handguns and assault weapons every five years, requiring universal background checks even at private sale events; imposing a mandatory penalty of life in prison without parole for killing a first responder in the line of duty; safe storage requirements for weapons; a penalty for possessing a weapon on school grounds; tougher penalties for illegal gun use; a requirement for judges issuing orders of protection when victims feel perpetrators will use a gun to demand that perpetrators surrender the weapon; extending Kendra’s Law for two years, through 2017, as well as extending the period of mandatory outpatient treatment from six months to one year; and requiring assessment prior to releasing an inmate with mental illness.

 
A RESPONSE TO HATE CRIME in Higher Education
Social and Economic Justice & Peace Section Connection | Summer 2013
VINCENT ORNELAS, PHD, MSW

Presently, our country is in the midst of another extended reflection upon what it is to be an American. More specifically, our leaders in Congress are reexamining our national policies with regard to immigration, and the Supreme Court is deliberating on the civil rights of the LGBT (lesbian, gay, bisexual, and transgender) community. As the national dialogue continues, professional social workers have a duty to engage in this discussion, which has many implications for our clients, our organizations, and our communities (NASW, 2009). I am an associate professor at a comprehensive public university in northern California that largely serves a rural geographic region. One of my academic duties is teaching general education courses as well as major specific courses to undergraduate and graduate students enrolled in our BSW and MSW programs, respectively. In my classroom, I strive to create a safe space for students to engage in sometimes heated, but nevertheless civil, discussions as we address various concepts. One morning I came to my university office and found my door had been defaced overnight with three messages. Prominent among these messages were a powerful symbol and a phrase: a swastika and the words “white power.”

 
THE ROLE OF HOPE in the Journey toward Recovery for Individuals with Mental Illness
Mental Health Section Connection | Summer 2013
CHRISTINA E. NEWHILL, PHD, LCSW

In the 1990s, advocates of clients/consumers, family members, and some providers began to challenge many of the old assumptions and stereotypes about mental illness and the lives of those with mental illness. These advocates— some speaking from personal experience and others from observation—argued that being diagnosed with a mental illness, even a serious one, is not a death sentence in terms of hope for the future. Instead, many people who have mental illness can lead fulfilling lives and can achieve universal goals: friendships, romantic partnerships, meaningful work, enjoyable recreational pursuits, and independent living. In other words, many people with mental illness can achieve “recovery.” These advocates soon coalesced into a recovery movement that, over time, succeeded in achieving a paradigm shift with mental health systems of care around the world at all levels “by challenging mental health providers, administrators, policy makers, funders, workers, and the people who experience mental health problems and their families to look at how negative or limiting assumptions are driving approaches to services, to funding, to treatment, to policies, and ultimately to the course of everyday lives” (Pennsylvania Office of Mental Health and Substance Abuse Services, 2005, p. 6).

 
SOCIAL WORKERS, Smartphones and Electronic Health Information
Mental Health Section Connection | Summer 2013
SHERRI MORGAN, MSW, JD

Social workers are increasingly relying on mobile communication devices such as Internet-enabled mobile phones (“smart phones”), laptop computers and tablet computers in the course of carrying out professional social work duties. Some of the common issues that arise in the use of these devices include: • Is it okay for me to email information to my clients? • Am I required to use an electronic health record for clients? • I’ve started storing my client files on a remote server through an IT vendor that provides password access to the records. Is that sufficient protection for clients’ confidentiality?

 
IMPROVING ACADEMIC PERFORMANCE for Pacific Island Students
School Social Work Section Connection | Summer 2013
MAHONRI V. SAPIGA, MSW DONALD E. BAUMEISTER, EdD, LCSW, JD

As school systems become more ethnically diverse, the need to sensitize and train stakeholders in those systems becomes more critical. Increasingly, educators find Pacific Islanders in their student bodies without sufficient information concerning their background, heritage and culture. The purpose of this article is to begin to rectify this imbalance with accurate data and information.

 
NEUROSCIENCE AND THE 49% RULE: How to Avoid Overworking the Therapist and Underworking the Patient
School Social Work Section Connection | Summer 2013
STEPHAN GOMBIS, LCPC, MFMFT DAWN GILLIAM, LCSW

In the book The Talent Code, author Daniel Coyle interviewed UCLA Professor of Neurology Dr. George Bartzokis. In the interview, Dr. Bartzokis described learning as a skill that boiled down to three simple facts: 1-Inside the brain, every human movement, thought, or feeling is an electrical signal that moves through a chain of neurons; 2-Myelin is the cellular insulation that wraps the chain of neurons to increase strength, speed, and accuracy of that electrical signal; and 3-The more you fire the chain of neurons, the more myelin optimizes that circuit, making the electrical signal stronger, faster, and fluent (Coyle, 2009, p.32).

 
THE REEMERGENCE OF AN AGE-OLD CONTROVERSY: Nonabstinence-based Treatment Goals
ATOD Section Connection | Summer 2013
DOTTIE SAXON GREENE, MSW, LCSW, LCAS

Recent news in the addictions field may leave some of us scratching our heads. In fall 2012, an article titled “Acceptance of non-abstinence goals by addiction professionals in the United States” was published in Psychology of Addictive Behaviors. Key findings showed that nearly 50 percent of addiction professionals in the United States supported nonabstinence goals for their clients in certain situations (Davis & Rosenberg, 2012). The Partnership at DrugFree.org newsroom report on the study’s findings has drawn comments from some of the most notable professionals in the addictions field, including Dr. Phyllis Gardner, president of the International Certification and Reciprocity Consortium, on one end of the argument, and Dr. Mark Willenbring (noted alcohol researcher) at the other (www.drugfree.org/jointogether/addiction/commentarylearning-as-we-go-criticalassessment-of-addiction-researchand-practice). My perspective lies somewhere in the middle of the debate.

 
POSITIVE EMOTIONS’ Role in Helping Young Clients
Children, Adolescents, Youth and Family Section Connection | Spring 2013
JOHNNY S. KIM, PHD, LICSW

The strengths perspective has long recognized the importance of hope and has influenced how social workers interact with clients by providing an alternative to the more common pathology-oriented approach. Rather than focusing on young clients’ deficits and weaknesses, which can hinder clients’ progress, the strengths perspective believes in focusing more on clients’ strengths to help bring about positive changes (Saleebey, 2006).

 
HOPE FOR WARRIORS
Social and Economic Justice & Peace Section Connection | Spring 2013
TINA ATHERALL, LMSW

Now that 10 years of military involvement in Iraq and Afghanistan are coming to a close, communities across the United States are evaluating their preparedness in terms of services for returning combat service members and their families. As professionals, social workers have a unique and important opportunity to lead the way. The challenge for social workers, agencies, and communities is engaging and integrating the transitioning individual service member and family.

 
SOCIAL WORKERS, Immigration Policies and State Benefits
Social and Economic Justice & Peace Section Connection | Spring 2013
SHERRI MORGAN, MSW, JD

INTRODUCTION Social workers may have a general concept of immigration requirements, but this area of law is both complex and volatile. U.S. laws and policies affecting the status of immigrants have evolved over time in response to various social, political and economic pressures. More recently, in the wake of welfare reform in the 1990s, and in the post 9/11 era, U.S. immigration policy has returned to an exclusionary focus that has turned toward conflating criminality and undocumented immigration status. Although immigration laws are within the exclusive purview of the federal government, a number of states have attempted to address concerns about violations of immigration law by residents by passing various exclusionary measures. This may create legal questions and ethical dilemmas for social workers who work in programs or areas serving immigrants. When social workers are used as enforcers of exclusionary government policies to the extent of “turning in” violators, valid questions may be raised about the extent a social worker may meet both legal and ethical obligations. This Legal Issue of the Month article reviews recent legal policy as enacted by U.S. Congress, the state of Arizona and related interpretations of the law regarding immigrants’ eligibility for public benefits, documentation and reporting requirements.

 
ADDICTION and Family
ATOD Section Connection | Winter 2013
JOAN GALLIMORE, MSW, LCSW, CSI

Anyone who has watched the A&E channel show “Intervention” has seen what addiction does to the individual and to the family. The show mostly focuses on the person with the addiction, but what happens with the family in the process of addiction? Family members can develop patterns of functioning that actually support addictive behaviors. On “Intervention,” families have the opportunity to see how their decisions and behaviors reinforce the addiction itself. Most people struggle to understand that they are contributing to the system because the obvious problem is the addiction, right? If the person could stop using, then everyone else would be okay. Unfortunately, the situation is more complicated than merely stopping the addictive use of substances—that is the tip of the iceberg. Family work is credited as one of the major contributing factors to recovery. How does family work influence the person with the addiction?

 
SELF-ESTEEM REDEFINED
Mental Health Section Connection | Winter 2013
YEHUDA LIEBERMAN, LCSW-R, QCSW, DCSW

What is self-esteem? This seemingly elusive term is often bandied about by professionals and laymen alike. “I have no self-esteem,” “You need to build your self-esteem,” and “My selfesteem took a hit” have become common phrases. Building selfesteem has, in many ways, become the mantra of modern society. It is spoken of in schools and among mental health and other professionals. Parents of young (and often older) children worry about their kids’ self-esteem. But what do people mean when they speak of self-esteem?

 
THE MENTAL & BEHAVIORAL HEALTH Needs of Our Military and Returning Veterans: An Important Role for Social Work
Mental Health Section Connection | Winter 2013
CHRISTINA E. NEWHILL, PHD, LCSW • TRACY SOSKA, LSW PATRICIA BAMWINE, MA • KEITH CALDWELL, MSW

With an increasing number of veterans returning from repeated deployments in the long wars fought in Iraq and Afghanistan, the mental health service needs for this population is skyrocketing. According to the Department of Veterans (2010), an estimated 2.1 million military service members have served in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF), and Operation New Dawn (OND). As of March 2012, nearly 1.4 million of these veterans were already eligible for Veterans Administration (VA) services, with more than half of those veterans reporting possible mental health problems (Department of Veterans, 2010). The families of both active military members and returning veterans are also facing growing mental and behavioral health needs, and are often the catalysts for seeking help.

 
CHILD FATALITIES: An Overview of Recent Epidemiological Data from California
Child Welfare Section Connection | Winter 2013
EMILY PUTNAM-HORNSTEIN, PHD, MSSW

When a child dies following an allegation of maltreatment to Child Protective Services (CPS), public outcries are quick and severe: the system tasked with responding to child abuse and neglect was informed a child was at risk and yet failed to intervene in a manner that kept him or her safe. In an effort to learn from these and other tragic cases, Child Death Review Teams (CDRTs) across the United States compile data to identify child death patterns and clusters, examine possibly flawed decisions made by CPS and other systems, and summarize the characteristics of fatally injured children in order to take actionable steps toward improving child safety and reducing child deaths (Douglas & Cunningham, 2008). Currently, 49 states and the District of Columbia report teams in place to review child maltreatment fatalities; several states have now moved to investigate all causes of child death (National Center for Child Death Review, 2011). Yet—absent a broader context—such scrutiny of individual decisions made in isolated fatality cases offers limited practice and policy insights. In the case of deaths following CPS contact, looking only at those children who have already died fails to inform our understanding of how the experiences and characteristics of deceased children fit within the broader population of those who were similarly reported to CPS—but did not die. Nor does it allow for these deceased children to be understood within the population of demographically similar children who died despite having never been reported to CPS. The absence of an epidemiological perspective profoundly limits our ability to make informed modifications to CPS practices or policies. The newly linked data sources from the state of California advance our knowledge of risk factors for both non-fatal and fatal child maltreatment.

 
CHILDREN OF Returning Warrior Parents: Child Abuse and Neglect Challenges of the Military and Veteran Family Systems
Child Welfare Section Connection | Winter 2013
MICHAEL BERMES

It has been more than a decade—military operations in Iraq have finally ceased, and there appears to be an end in sight in terms of operational forces in Afghanistan. More than two million military members have been deployed to these conflicts. There is in excess of two million children with one or both parents employed by the military (Lester et al., 2011). Nearly one million of these children have had a parent deployed to a war zone, and more than 250,000 have had both parents simultaneously serving in these hostile areas (Park, 2011). Deployment of a parent or parents to a war zone—commonly called a “catastrophic” stressor for military families—greatly enhances the risks for a range of psychosocial problems for military children; a parent’s post-traumatic stress disorder (PTSD) symptoms could manifest as child abuse and neglect. This is especially true in the fast-paced, longer, and more frequent deployments, which are linked to higher rates of distress, depression, and anxiety in both the child and the at-home caregivers (Gewirtz et al., 2011). The focus of this article is to explore how these recent wars affect the children of military families. For instance, how do deployed family members returning with PTSD affect the welfare of children in military families? How do these stressors affect the at-home caregiver? And finally, how can social workers and other community providers address these child welfare issues within their communities?

 
FINDING JOY
Child Welfare Section Connection | Winter 2013
DAVID POOLER, PHD, MSSW • TERRY WOLFER, PHD, MSW • MIRIAM L. FREEMAN

Do social workers find joy in their work? If so, how? As three curious professors of social work, we set out to investigate these questions. Our curiosity was sparked by our interest in positive psychology (e.g., Peterson, 2006; Seligman & Csikszentmihalyi, 2000) and appreciative inquiry (AI; e.g., Cooperrider & Whitney, 2005), newly emerging practice fields in psychology and organizational development, respectively. In contrast to psychology’s traditional emphasis on pathology, positive psychology is concerned with individual, organizational, community, and societal experiences that relate to health and well-being, contentment, satisfaction, flow, happiness, hope, and optimism. This perspective focuses on the study of what makes life worth living, how individuals make meaning and purpose out of their lives, and how institutions, such as workplaces, foster satisfaction among its members. AI focuses on a search for the best in people and on what gives life to human systems. Simply put, AI purports that what we as humans focus on and pay attention to is what expands in our lives. In other words, focus on what is going well and that is what grows in us. Focus on pathology and problems, and these negatives will multiply in our lives.

 
HEALTH AND ECONOMIC Disparitiesin Later Life
Aging Section Connection | Winter 2012
CHRIS HERMAN, MSW, LICSW

Lisa Gardner, a 45-year-old occupational therapist at a large medical center, notices she is having difficulty hearing in one ear. She decides to obtain a hearing evaluation and urges her 80-year-old father, Joe— who has lived with hearing loss for decades—to join her. Lisa takes public transportation from her workplace to the audiologist’s office, at a cost of $2.50 each way. Because the appointment is in the middle of her workday, she is unable to transport her father, who pays $50 for round-trip wheelchairaccessible transportation and another $75 for a home health aide to escort him to and from the appointment. Lisa has a $25 copayment for the office visit; Joe, on the other hand, pays the entire $500 diagnostic testing fee because Medicare does not cover hearing evaluations and he does not have secondary insurance. The audiologist evaluates Lisa and Joe and recommends hearing aids for both patients. Because Lisa’s hearing loss is not severe, her hearing aid costs only $750. Knowing that many private insurance plans do not cover hearing aids, she is pleasantly surprised to learn that her employer-based plan will pay $500 of the cost. Her father, however, has profound hearing loss in both ears; a pair of hearing aids costs $5,000, none of which is covered by Medicare. Lisa decides to order her hearing aid as soon as possible and encourages her father to do the same, offering to help negotiate a payment plan with the audiologist. Joe expresses reluctance because his retirement savings are quickly depleting, and he doesn’t know how he will manage when Social Security becomes his sole income. When his daughter urges him to reconsider, reminding him how much trouble he’s had hearing his doctors lately, Joe responds that he’s considering skipping his upcoming appointments; he’s still paying bills from two recent hospitalizations and he doesn’t really understand how his doctors are helping him anyway. In an effort to avoid the Medicare Part D “doughnut hole,” Joe adds that he’s begun taking his antidepressant every other day. “It doesn’t seem to make a difference—I feel the same as I did when I took it every day,” he concludes. Lisa is distressed by her father’s attitude toward his health; even so, she understands his viewpoint and worries her own financial situation may be even worse when she is 80—if not years before that.

 
WORKING WITH MALTREATED CHILDREN While Still Keeping Our Sense of Hope
Child Welfare Section Connection | Fall 2012
ANA LEON, PHD, LCSW, ACSW

One of the core values of social work is that we must always strive to instill hope in our clients who seek help during very difficult and challenging times in their lives (Kirst-Ashman & Hull, 2012). Our complicated society often underestimates the importance and power of hope. People lead busy lives and seldom take the few minutes necessary to truly listen to someone else’s worries or concerns. Too often individuals don’t follow up with others who need someone to talk to, problem solve, or establish bond. Our society doesn’t always encourage the child who so desperately reaches out to us for some validation. We miss opportunities to spend time with people who are in physical or emotional pain. Sometimes, we feel so overburdened by our own responsibilities and challenges, reaching out to others and providing a sense of encouragement and hope just seem impossible. Despite how complex life can be for everyone, every so often a community crisis or natural disaster forces us to stop our busy lives long enough to reflect and help those who suffer from hopelessness (Glass et al., 2009).

 
INHERITORS OF HOPE: African American Baby Boomers
Aging Section Connection | Fall 2012
SANDRA EDMONDS CREWE, PHD, ACSW

My story is not unique. Rather, I am an exemplar of the baby boomers, members of that historic generation born between the years 1946 and 1964. This generation, my generation, almost 80 million strong, consists mostly of the children of “the greatest generation” (Brokaw, 2004). While the media often divides the generations by wars, values, and ages, there are also cultural differences that result from sanctioned structural and cultural divides based upon race and gender. Thus, African American baby boomers are uniquely influenced by the hope for social justice that was passed on by generations going back to the year 1619, when African Americans were first captured and enslaved.

 
THE ROLE OF SCHOOL SOCIAL WORKERS in Restoring Hope for High School Graduation
School Social Work Section Connection | Fall 2012
DERRICK D. AMPEY, LMSW, ACSW

In public school districts with minority students from all ethnic and racial backgrounds, the dropout rate for the African American male subgroup appears highest. In today’s society, completing high school is one of the main requirements for getting even a low-wage job, and earning a high school diploma or GED is the minimum requirement for accessing postsecondary education.

 
FORGIVENESS AND HEALTH: A Review
Health Section Connection | Fall 2012
ROBERT E. JOHNSON, MDIV, MSW, LCSW

The relationship between forgiveness and psychological, physical, and social health and well-being went without much scholarly attention until around the 1990s; however, since the turn of the millennium, numerous studies and booklength compendia of studies have appeared. Researchers and teachers—such as Robert D. Enright, Fred Luskin, Dick Tibbits, and others—have elaborated on the theory and practice of forgiveness, and have marshaled studies on the benefits of forgiveness; they have written books that combine reviews of research, definitions and clarifications, “how-to” pointers, and—in the volumes devoted more to selfhelp—gentle pleadings. This article is an attempt to summarize the new interest in and energy about the topic of forgiveness, and to try to create a model for understanding that guides possible utilization.

 
SOCIAL WORK AND Human Rights Education
Social and Economic Justice & Peace Section Connection | Fall 2012
LYNN PURNELL HAGAN, PSYD, LCSW

WHY HUMAN RIGHTS EDUCATION? When discussing globalization, it would seem natural to parlay it into social work education. Human rights issues strike at the very core of social work values and have been addressed in social work in the United States for more than 50 years. Social exclusion, racial and religious intolerance, gender inequality/ violence, and the rights of women, children, refugees, older people, and the lesbian, gay, bisexual, and transgender (LGBT) community are social justice issues that have long concerned social workers. With the notion of the person-inenvironment in mind, social workers should be aware of the effects of human rights violations on the growth and development of the individual as well as society in general. Whether in a micro- or macro-setting, social work education must confront these issues not only on a local but also on a global scale.

 
MARKET TECHNIQUES Don’t Work
ATOD Section Connection | Fall 2012
MAURICE S. FISHER SR., PHD, BCD

Many professionals and citizens view the war on drugs as a marketplace problem that can be controlled by manipulating various aspects of the market, such as the supply, demand, and potential demand. Simply put, this approach posits that if one wants to minimize the use of licit or illicit substances, then all one needs to do is decrease the supply and the demand will “dry up.” Or, conversely, decrease the desire for drugs, and the suppliers will be put out of business. Theoretically, this approach sounds like a solid one; practically, it will not work effectively. There are various reasons why the “market” approach will not work well. First, as is typical in these approaches, they tend to leave out an important ingredient: how individuals manage their own pain and suffering. As a client of mine recently suggested, “As long as there is pain in the world, there will be drug abuse.” Pain comes in many forms: physical, emotional, psychological, social, and financial; hence, people typically attempt to avoid or minimize pain. If the pain is removed, or if people learn to cope with their pain(s) in more healthy ways, then the use and abuse of substances is minimized.

 
RESTORING HOPE in Families with a Suicidal Youth: Attachment-Based Family Therapy
Children, Adolescents, Youth and Family Section Connection | Fall 2012
JONATHAN B. SINGER, PHD, LCSW

On the evening of March 9, 2012, Eden Wormer, an eighth-grade student in Vancouver, Washington, gave her father a hug and a kiss and said, “I love you daddy, goodnight” (Sinmaz, 2012). The next morning, she was found dead in her room; she had hanged herself. Somewhere between the hug and kiss, and the morning light, Eden decided the best way to solve her problems—being victimized by bullies, feeling ostracized and misunderstood—was to kill herself. The tragedy of Eden Wormer’s suicide is compounded by a grim statistic: by the end of 2012, more than 1,800 young adults in the United States will die by suicide, making it the third leading cause of death among youth ages 5 to 19. For each child who commits suicide, there are hundreds of thousands more who are at risk. In 2011, 15.8 percent of high school students reported seriously considering suicide, 12.8 percent reported making a suicide plan, 7.8 percent attempted suicide, and 2.4 percent reported receiving treatment from a doctor or nurse as a result of their suicide attempt (Eaton et al., 2012). One of the most disturbing aspects of these statistics is that they represent the first increase in youth suicidal ideation, planning, and attempts since 1995, reversing a 15-year downward trend. Although social workers are expected to provide crisis intervention services, including suicide assessment and intervention (CSWE, 2009), they receive very little training in the treatment and management of suicidal behaviors (Feldman & Freedenthal, 2006). Therefore, this article will provide a brief overview of an empirically supported approach to working with suicidal youth and their families—attachment-based family therapy (ABFT) (Diamond et al., 2010).

 
SOCIAL WORK STRATEGIES: Implementing Hope in Adjudicated Youths and Their Families
Children, Adolescents, Youth and Family Section Connection | Fall 2012
JACK S. MONELL, PHD, ACSW • FRED W. BARNES, LGSW • CHARISSE T.M. COSTON, PHD

SENSE OF HOPELESSNESS In working with adjudicated youth within the criminal justice system, you often find—in addition to all of the disadvantages or challenges they may face in integrating back into society—one of the biggest barriers is their selfinflicted sense of hopelessness. Among the adolescents who are most involved in the juvenile justice system is an overrepresentation of youths who are minorities and/or who are from lower-income families or impoverished communities. As cited by Peters (2011), “the correctional system affects individuals and communities at the heart of social work’s effort: people who are poor and people of color” (p. 355).

 
SOCIAL WORK & THE COURT… Keep Me Smiling
Social Workers and the Courts Section Connection | Fall 2012
KATHRYN DIXON, MSW, LCSW, LMSW

I am smiling. While writing this article, I kept discovering examples of how social work and the court are such intrinsic parts of me. My life began as an adoptee by a social worker who had served in adoption/ foster care. I’m told I toddled around announcing and smiling proudly, “I ’dopted.” When I was old enough to pronounce the word, and ask some questions, she told me about the long waiting period to finalize an adoption at that time: an entire year in legal limbo. So, from an early age I had a deep appreciation for the way the court related to family life. My career interest in the relationship between the two fields of practice began in the mid-1980s. As a secondgeneration social worker, I had heard from my mother numerous examples supporting the joining of the two areas in practice. While getting my BSW with a minor in justice studies, I decided to pursue dual advanced degrees in law and social work. I had delved into broadening my knowledge of how the two professions combined, and I became a fast fan of the term “therapeutic jurisprudence.” My undergraduate internships further confirmed the link between social work and the courts. I smiled and asked the following question after graduation: What kind of work experience would be the best way to launch my career? My mother suggested I work in the child welfare area because a metropolitan New York social service agency would allow me to work closely with attorneys representing mutual clients.

 
SOCIAL WORKERS IN COURT: Opportunities for Hope & Resilience?
Social Workers and the Courts Section Connection | Fall 2012
ALLAN EDWARD BARSKY, JD, MSW, PHD

When we think of court processes, the primary themes that spring to mind tend to be negative. We think of courts as adversarial, costly, timeconsuming, disempowering, and focused on the past. Yet with psychiatrists, psychologists, and other mental health professionals. Further, the NASW and other social work organizations have submitted influential amicus briefs in cases concerning same-sex marriage, adoption, and other matters. Since the 1996 case of Jaffee v. Redmond, the United States Supreme Court has recognized the importance of confidentiality in clinical social worker–client relationships, declaring that privilege exists, and that licensed clinical social workers cannot be compelled to testify without permission of the client. Positive judicial decisions have continued into the current Acceptance of social workers as expert witnesses has been reinforced by the growth of forensic social work associations and journals. Social workers have become resilient through education and training to survive and thrive in court procedures. Many schools of social work provide courses social work and the law, criminal justice, and child welfare. Some social work programs offer joint social work/law degrees. Continuing education courses provide social workers with knowledge and strategies to deal more

 
HELPFULNESS of a Structured Meal Plan Study
Private Practice Section Connection | Fall 2012
KRISTEN McALEAVEY NUGENT, PHD, BSW

There is controversy in the field of social work about describing disordered eating as an “addiction.” Although addiction to certain foods is not a recognized criteria in respect to eating disorders within the DSM-IV, there are interesting parallels between the eating patterns of some individuals and the DSM-IV criteria for psychoactive substance dependence: (a) the substance is often consumed in larger amounts or over a longer period of time than the individual intended; (b) the individual continues to use the substance despite persistent or recurrent social, psychological, or physical problems caused or exacerbated by the use of the substance; (c) withdrawal symptoms occur; and (d) the substance is often taken to relieve or avoid withdrawal symptoms. Regardless of the current debate on the addictive quality of refined foods, some practitioners advocate plans that address refined foods. For example, the Kay Sheppard recovery food plan (Sheppard, n.d.) is a comprehensive guide for persons with any kind of eating disorders and provides details of structured food plans, a list of trigger foods to avoid, portion sizes, and advice on how to implement the plan. Its goals are: (a) eliminate addictive substances; (b) balance proteins and carbohydrates; (c) manage volume; (d) provide good nutrition; and (e) distribute nutrients throughout the day.

 
HELPFULNESS of a Structured Meal Plan Study
Private Practice Section Connection | Fall 2012
KRISTEN McALEAVEY NUGENT, PHD, BSW

There is controversy in the field of social work about describing disordered eating as an “addiction.” Although addiction to certain foods is not a recognized criteria in respect to eating disorders within the DSM-IV, there are interesting parallels between the eating patterns of some individuals and the DSM-IV criteria for psychoactive substance dependence: (a) the substance is often consumed in larger amounts or over a longer period of time than the individual intended; (b) the individual continues to use the substance despite persistent or recurrent social, psychological, or physical problems caused or exacerbated by the use of the substance; (c) withdrawal symptoms occur; and (d) the substance is often taken to relieve or avoid withdrawal symptoms. Regardless of the current debate on the addictive quality of refined foods, some practitioners advocate plans that address refined foods. For example, the Kay Sheppard recovery food plan (Sheppard, n.d.) is a comprehensive guide for persons with any kind of eating disorders and provides details of structured food plans, a list of trigger foods to avoid, portion sizes, and advice on how to implement the plan. Its goals are: (a) eliminate addictive substances; (b) balance proteins and carbohydrates; (c) manage volume; (d) provide good nutrition; and (e) distribute nutrients throughout the day. The Department of Social Work and Communication Sciences and Disorders College of Education & Human Services at Lakewood University in Virginia conducted an online survey designed to investigate problems that individuals have with their consumption of food and drink. The type of measure used was self-completed, multiple choice and fill-in-the blank. There were a total of 300 email invitations. The sample consisted primarily of women. There were a total of 150 responses received. The response rate was 50 percent. The survey was used to assess the efficacy of using a structured meal approach as part of a treatment for eating disorders. Respondents (n=356) were female, predominantly white, and typically between the ages of 41 and 60. Of them, 38.5 percent reported that they had been formally diagnosed with an eating disorder. When asked whether they identify themselves as food addicts, 96.9 percent replied affirmatively. More than half of the total respondents indicated that they were currently implementing the plan always/ most of the time with 80.3 percent indicating it was a lot of help/completely helpful. Therefore, a structured meal approach may be beneficial in individuals with eating disorders. In addition, 39 percent (n=139) reported an allergy to sugar, flour, and wheat. This allergy often causes a craving that requires more food, resulting in bingeing. Of the respondents, 80.6 percent (n=287) reported attending some kind of support group for their addiction to sugar, flour, and wheat. The most common was a 12-step program (82.2 percent) (Table 3). In terms of the type of meeting involved, 151 respondents (52.6 percent) reported a face-to-face meeting, whereas online and telephone meetings constituted only 4.5 percent and 2.1 percent, respectively. However, 40.8 percent of respondents indicated that they used a combination of these three types of meetings. In terms of specific organizations reported, Kay Sheppard’s own organization (the Loop) was the most common (26.5 percent), followed by Overeaters Anonymous (11.6 percent), and Food Addicts in Recovery (7.3 percent) (Table 4). However, 34.9 percent of respondents (n=96) reported using multiple organizations.

 
A CALL TO ACTION: Ten Years of War and the Effects on America’s Military Children
Children, Adolescents, Youth and Family Section Connection | Summer 2012
SANDI VEST, LICSW

America has been at war for 10 years. During that time, approximately two million service members have deployed to Iraq and Afghanistan in support of Operation Iraqi Freedom and Operation Enduring Freedom (Tanielian & Jaycox, 2008). There is only preliminary evidence of the effects of deployments on children who have had a parent deployed since 2001 (Flake et al., 2009). The Army refers to the deployment cycle as the Army Force Generation Cycle (ARFORGEN). It is the cycle that an Army unit follows from train-up to deployment to the return of the unit. This cycle takes a toll on families, which is referred to as the “Emotional Cycle of Deployment.” In 2006, Dr Jennifer Morse described the cycle as having seven stages:

 
TEEN PARENTING: Are Schools Prepared?
Children, Adolescents, Youth and Family Section Connection | Summer 2012
CYNTHIA IVEY STEWART, EdD JENDIA GRISSETT, EdD, LCSW, C-SWWS

Each year the United States reports that adolescent pregnancies number over one million. More than 500,000 births are recorded from these pregnancies, which means that an average of 55 teens give birth every hour (U.S. Department of Health and Human Services, 2002). Estimates of the number of teen fathers are more difficult, but close to half of the babies born to teen mothers also had fathers who were teens. With these statistics, the United States has one of the highest teen pregnancy rates in the industrialized world. Yet, how do educational programs in our country meet the needs of these teen parents? Teenage mothers are at great risk in society. Many are economically disadvantaged, and a large proportion drop out without completing high school (Hofferth, Reid, & Mott, 2001). With few employable skills, they all too often end up in low-paying jobs and/or receive government benefits over a substantial period. Having a child before the age of 20 reduces the amount of education attained (high school and college) by an average of three years (Kirby, Coyle, & Gould, 2001). Early child bearers are less likely to graduate from high school: 41% of mothers who have children before age 18 complete high school, compared with 61% of mothers who delay childbirth until age 20 or 21 (Casserly, Carpenter, & Halycon, 2001). In addition, many lack effective parenting skills, which results in their children beginning school behind their peers. This can lead to intergenerational poverty when disadvantage crosses generations.

 
PET-ASSISTED THERAPY and the Traumatized Child
Children, Adolescents, Youth and Family Section Connection | Summer 2012
GARY P. COURNOYER, MSW, LICSW • CLARISSA M. UTTLEY, PHD

The population of children presenting with signs/symptoms of trauma is increasing at an alarming rate. The American Psychological Association (2008) defines traumatic events as inclusive of sexual and/or physical abuse, domestic, community, and school violence, among numerous other forms of trauma. The traditional treatment options, although often successful, are not meeting the needs of many children with trauma. In response, therapists have had to explore other therapeutic interventions to connect with this difficult-to-reach population.

 
HANDS-ON HOPE
Mental Health Section Connection | Fall 2012
JUDY DAVIS, MA, MSW, LCSW

What exactly are we talking about when we say the word, “hope?” How do we put it into operation and what elements are we describing? Is what I mean when I use the word hope the same as what you mean by the word hope? Do we learn to believe in hope from our parents or someone important in our lives? What would our world be like without hope? Can it be lost to some people? How do people lose hope? If hope is lost, how is it recovered? What does it take, exactly, to have hope? Can having hope be taught? If so, what would that look like? C.R. Snyder, the renowned University of Kansas psychologist describes it this way, “Hope is believing you have both the will/agency and the way/ pathway to accomplish your goals, whatever they may be. Hope is the sum of perceived capabilities to produce routes to desired goals, along with the perceived motivation to use those routes. So hope is a kind of glue that holds together the rest of the human condition as well as the energy that moves us ahead (Snyder, 2000).”

 
HEARING VOICES: A Voice of Hope
Mental Health Section Connection | Fall 2012
WILLA J. CASSTEVENS, PHD, MSW, LCSW

Hearing voices, or voicehearing, is commonly identified as a form of auditory hallucination. Auditory hallucinations are a symptom frequently associated with a diagnosis of schizophrenia, so much so that auditory hallucinations have been called a “hallmark symptom” of schizophrenia (Wible et al., 2009). Over the past thirty years, however, a grass-roots movement has been growing among voice-hearers in Europe, the United Kingdom, and elsewhere around the globe. The movement has now crossed the Atlantic, and identifies hearing voices as part of the human experience, rather than as a symptom of pathology (Klafki, 2007; Romme & Escher, 2007). One of its forums, Intervoice: The International Community for Hearing Voices (Romme & Escher, 2007), has an online presence (www.intervoice online.org) that can be a source of hope and inspiration for many people experiencing voice-hearing. Intervoice is not alone – the Hearing Voices Network is an example of another such organization. What sparked this apparent shift in thinking about voicehearing? Is this merely wishful thinking, or is there a basis for hope in this movement? And finally, what can this mean for us, as social workers?

 
The Cloud and Technology Tips for Social Workers
InterSections in Practice | Fall 2012
Carol Stambaugh, LCSW, CAE

The “cloud” is a term that is now used to describe a series of Web-based services that “reside” on the Internet as opposed to a local computer. Today’s technologies are moving to the cloud in what is also known as a “Software as a Service” (SaaS) model.

 
State Automated Child Welfare Information Systems: Past Goals and Future Directions
InterSections in Practice | Fall 2012
Joseph A. Mienko, MSW

Movement toward state automated child welfare information systems (SACWIS) began in 1993 when the federal government passed legislation (Public Law 103-66) providing for a 75 percent match to state funds spent on the development, implementation, and operation of a SACWIS. The main goal of this incentive was to provide a common collection mechanism for the Adoption and Foster Care Analysis and Reporting System (AFCARS) and the National Child Abuse and Neglect Data System. Secondary goals of this system were to automate case management functions and to provide an avenue through which child welfare systems could effectively communicate with state programs administering Aid to Families with Dependent Children/Temporary Aid to Needy Families, Medicaid, and child support.

 
Evidence-Based Social Work Practice in the Internet Age
InterSections in Practice | Fall 2012
Joanne Yaffe, PhD, ACSW

I hear you. I have some good news for you, too. You see that laptop, smart phone, or tablet computer right in front of you? Just as easily as you can access your e-mail or FaceBook, you can become an evidence-based social worker. The Internet is a game changer that can provide you with high-quality information about practice and teach you how to use that information to make decisions about your practice.

 
AN ANSWER to Burnout
Administration/Supervision Section Connection | Fall 2012
JANICE HAWKINS, MSW, LMSW

Child welfare is considered one of the most stressful social work jobs in the country. In New York City, which receives more than 64,000 reports of suspected abuse or neglect annually (NYCACS, 2011), it is doubly so. Protective specialists are called on to assess the safety of children, initiate essential services, and facilitate the participation of troubled families in viable permanency plans; at the same time, these workers have no control over the number or severity of cases assigned to them. As a result, more caseworkers feel stressed and overworked. Their assessment can mean the difference between life and death for a child (Rakoczy, 2011).

 
SELF-CARE and Avoiding Burnout
Private Practice Section Connection | Summer 2012
SARAKAY SMULLENS, ACSW, BCD, LCSW

Those of us in private practice have to make special commitments to ourselves toprotect our energy. Some social workers employed by agencies and other resources have such programs builtin, such as retreats and staff development opportunities, and in some private settings, perhaps agym, yoga lessons,and even apool for exercise. In private practice, however, it is entirely up to us to carve out these opportunities for ourselves, in atough economy, and with many demands to balance.

 
COGNITIVE Behavioral Group Work
Private Practice Section Connection | Summer 2012
RANDY H. MAGEN, PHD, ACSW

One approach to intervention that has received bothw idespread acceptance and empirical support is cognitivebehavioral treatment(CBT) .Meta-analyses have shown positive effects of CBT for the following:•Chronic headache pain in children and adolescents(Eccleston, Yorke, Morley,Williams, &Mastroyannopoulu, 2003)•Early family/parent training(Piquero, Farrington, Welsh,Tremblay, & Jennings,2008)•Recidivism of criminal offenders (Armelius &Andreassen, 2007) •Children and youth intreatment in foster care(Macdonald & Turner, 2007)

 
ENHANCED MONITORINGof Psychosocial Needs in Patients with Genetic Conditions: A CloserLook at the PKU Clinic
Health Section Connection | Summer 2012
HAZEL VESPA, LCSW and LAUREN LEVITON, LCSW

Social workers have important contributions to make in working with people coping with geneticconditions.The rapid pace of medical advances and increased treatment options for phenylketonuria(PKU), for example, have challenged the clinical interdisciplinary team to offer more comprehensiveassessments and further program development. In addition to the metabolic abnormality, manypsychosocial concernsare visible in this patient population and have often required further evaluationand referral to a mental health specialist.Unfortunately, comprehensive mental health screeningstargeting emotional and behavioral concerns are not routinely implemented during outpatientappointments within our metabolic genetic population. In this report we illustrate the integral role thatsocial work provided in the introduction and implementation of mental health screening questionnaires inthe PKU Clinicat Children’s Memorial Hospital.

 
BOOK REVIEW: Skinny Revisited: Rethinking Anorexia Nervosa and Its Treatment
Health Section Connection | Summer 2012
BOOK REVIEW BY KAMILAH S. OMARI, LLMSW, ACSW

Clinical social workers interested in learning more about treating anorexia nervosa will find this book useful. It reflects an applied approach to anorexia nervosa utilizing the social work profession’s general perspective of person in environment. Written by seasoned clinical social worker Dr. Maria Baratta, the book views the disease and its treatment through an additional lens, the feminist socio behavioral perspective.

 
PRIVATIZATION OF School Social Work: Advocacy in Connecticut
School Social Work Section Connection | Summer 2012
STEPHEN A. KARP, MSW

The bill, SB 432: An Act Concerning the Provision of Social Work Services in School Districts, would have required all local school districts in Connecticut that employed school social workers to contract with a community-based nonprofit agency for school social workers. The stated purpose of the bill was to reduce the cost to school boards for school social work services. The bill’s sponsor was a Republican state senator on the Education Committee.

 
Job Shocks -- A Narative
Mental Health Section Connection | Issue 2 2012
David Levine, MSW

I decided to write this article, because I want other social workers and social work students to benefit from what I learned the hard way about looking for and working in a job after getting my master’s of social work (MSW). I will discuss many of the things that I wish someone had told me when I graduated and before I started my first job. Learn from my experiences.

 
LIVING OVERSEAS IS ALWAYS an Adventure:Part II of The Role of Mental Health and Effective Coping Strategies in Expatriates
Mental Health Section Connection | Issue 2 2012
LYNN HAGAN, LCSW AND KATHREN HILL, MSC

In —, “ Part I of The Role of Mental Health and Effective Coping Strategies in Expatriates,” areas of stress for expatriates include a reduced sense of self, local pressures, relationship strain, and isolation. The notion of the reduced self was directly related to social support, positive recognition, and valuing. The daily pressure of dealing with a foreign culture and individual health and safety is a major concern. Authors Hagan and Hill will discuss in the second part of the article on expatriate stress a more personal account of the challenges faced by them as expatriates.

 
IDENTIFYING, LOCATING, CONTACTING, AND ENGAGING Nonresident Fathers of Children in Foster Care(Part 1 of a 2 Part Series)
Child Welfare Section Connection | Issue 2 2012
NANCY THOENNES, PHD; CAROL J. HARPER, BSW, MPA; GAIL FOLARON, MSW, PHD; KARIN MALM, MS; OMA MCLAUGHLIN, MPH; JIERU BAI, MSW AND RASA KAUNELIS, MPA

In the past, fathers have been largely absent from the research and writings on child welfare. In 1990, two researchers reviewed five major journals where studies and theoretical writings related to child abuse and neglect were commonly published. While fathers are still not as visible as mothers in the literature, they are no longer “ghosts” or “afterthoughts” as they were once described (Brown, et al., 2009; Lee, et al., 2009). For example, a recent study, building on the work of Grief and Bailey, found 62 articles in six journals between the years 2004-2008 that dealt explicitly with fathers in child welfare. While this was a significant gain, the authors of this study concluded that “there continues to be…a significant lack of research including fathers relative to mothers in family-related research” (Shapiro and Krysik, 2010).

 
WHEN THE FIELD IS IN CRISIS: The Impact of World Events on Field Supervision and Student Learning
Administration/Supervision Section Connection | Winter 2011
JENNY KELLMAN FRITZ, PHD, LMSW, AND BARBARA WALTERS, PHD, LCSW

The Council on Social Work Education deems field education to be the signature pedagogy of social work (Homonoff, 2008). As the capstone of social work education, field experience represents the culmination of a student’s learning where theory, practice, policy, and research converge in real-world application. Field supervisors and faculty field instructors attempt to provide students with the most current information available in the profession (NASW, 2008). They often struggle to prepare students to navigate between the world of best practice and realistic practice. Ideally, the tenets of the two remain closely aligned. Current world events, however, can create a schism between the two worlds.

 
AT RISK: Violent Crime and SocialWorker Safety
Social and Economic Justice & Peace Section Connection | Special Edition 2011
SHERRY SATURNO, LCSW, DCSW, ACSW

In “The Urgency of Social Worker Safety,” National Association of Social Workers (NASW) past President James J. Kelly, PhD, LCSW, emphasizes the following: In the past few years alone, we have witnessed the fatal stabbing of a clinical social worker in Boston, the deadly beating of a social service aide in Kentucky, the sexual assault and murder of a social worker in West Virginia, the shooting of a clinical social worker and Navy commander at a mental health clinic in Baghdad, and the brutal slaying of social worker Teri Zenner in Kansas. These are only a few of the murders of our colleagues, which, along with numerous assaults and threats of violence, paint a troubling picture for the profession. (Kelly, 2010)

 
Meeting the Needs of Returning Combat Veterans, One Step at a Time
Mental Health Section Connection | Issue 1 2011
Mark Correale, LICSW, ACSW • Amy Mallory-Smith, MSW

 
The Role of Mental Health and Effective Coping Strategies in Expatriates
Mental Health Section Connection | Issue 1 2011
Lynn Purnell Hagan, Ps

 
Social Work Practice and the Duty to Warn
Mental Health Section Connection | Issue 1 2011
Christina E. Newhill, PhD, LCSW

 
Long-Term Issues -- Confronted by Children with a Chronic Kidney Disease
Health Section Connection | Issue 1 2011
SERGIO V. GRAJEDA, PHD, LCSW

Kidney failure occurs when the kidneys’ normal functioning slows or the kidneys stop filtering waste properly. The United States Renal Data System (USRDS) 2009 annual data report indicated that in 2007 there were more than 111,000 people in the United States being treated for kidney failure, also called end stage renal disease, or ESRD (p. 7). Of these, 1,304 (1.2%) were children under the age of 19 (p. 7). Kidney failure may be acute or chronic. Causes of acute kidney failure may be due to bacterial infection, injury, heart failure, poisoning, or drug overdose. Treatment includes correcting the problem leading to the failure and in rare cases requires dialysis. Chronic kidney failure involves a deterioration of kidney function over time. In teens and young children, it can result from the acute kidney failure that fails to improve; birth defects; chronic kidney diseases; or chronic, severe high blood pressure. If diagnosed early, chronic kidney failure can be treated. The goal of treatment usually is to slow the decline in kidney function with medication, blood pressure control, and diet. Dialysis on a regular basis is also a treatment alternative in some cases, and at some point a kidney transplant may be required (kidshealth.org).

 
PROMISING SOLUTIONS FOR Improving Teen Pregnancy Outcomes for Disadvantaged and Minority Girls
Health Section Connection | Issue 1 2011
Rita A. Webb, MSW

Despite advances in medicine and technology, gaps remain between the health status of minorities and nonminorities in teen maternal, newborn, and child health. The rates of unplanned pregnancies are higher among minority youth, accompanied by major risk factors that contribute to poor pregnancy outcomes. Some of these risk factors include delayed, or lack of, prenatal care, resulting in increased risk of both low birth weight and premature birth for newborns. Data indicate that nationally about 13 percent of African American teens and 13 percent of Hispanic teens become pregnant each year, compared with 4 percent of Caucasian teens. Likewise, women living in poverty are four times more likely to become pregnant unintentionally than women of greater means (Boonstra, 2010).

 
SPIRITUALITY and Health
Health Section Connection | Issue 1 2011
ELIZABETH H. FUNG, PHD, LCSW

The 2010 Haiti earthquake and the 2011 Japan earthquake, which was followed by a tsunami and radiation leak, must be associated with psychological trauma as well. In times of natural disaster, individual health crisis, suffering, tragedy, and loss, the most human reaction is to ask, “Why?” Some turn to religion or higher power for answers, hope, and strength. Spirituality is a powerful human experience. A study conducted by Jacobs (2010) concluded that it was very helpful for clinical social workers and mental health professionals to explore spirituality and religious beliefs in the context of the ways clients make meaning of life circumstances.

 
HOW AND WHY: We Evaluate Attention
Private Practice Section Connection | Issue 1 2011
WILLIAM J. SHRYER, LCSW, DCSW

One of the more confusing aspects of the diagnosis of attention deficit disorder (ADD) is how the concept of proper attention is evaluated. As social workers, we might ask ourselves these questions: “Were multiple measurements used?” and “Did the information gathered tell the whole story?” (Padgett, 2003). This brief overview will attempt to clarify some of the issues that are a central component in evaluating attention. The main factors affecting attention span are as follows: • Type of attention • Learning disabilities • Amount of energy • Distractibility level • Impulsivity level • Anxiety or obsessive thoughts

 
AMERICAN INDIAN STUDENTS and the Role of the School Social Worker
School Social Work Section Connection | Special Edition 2011
EVELYN CAMPBELL, MSW

The dropout rate for American Indian students is the highest of any ethnic or racial group in the United States and is more than twice as high as White/non-Hispanic students (7.6 % versus 3%, respectively) (Stillwell, 2009). There are many reasons American Indian students drop out of high school, such as school climate, bullying, academic problems, emotional problems, lack of parental support, and feelings that teachers did not care for them and are not providing enough assistance (Faircloth & Tippeconnic, 2010). School social workers can work with school administrators to help these students stay in school and earn their diplomas.

 
Caregiver Strife: Working with Midlife Siblings
Aging Section Connection | Issue 1 2011
Cathy Jo Cress, MSW

If you are a geriatric social worker with a caseload of families with dysfunctional issues, you may have found yourself dealing with escalating aging family clashes that erupted during the holiday season. Families with aging members are often filled with warring, midlife siblings. At ritual gatherings, these brothers and sisters often ignore their estranged siblings. Once a few drinks are downed or buttons are pushed, battles can break out, giving everyone chronic acid indigestion and leaving them wondering where to turn for help.

 
Integrative Family and Systems Treatment (I-FAST) with Children and Adolescents with Severe Emotional and Behavioral Problems
Children, Adolescents, Youth and Family Section Connection | Issue 1 2011
Mo Yee Lee, PhD, Scott Fraser, PhD Andrew Solovey, MSW David Grove, MSW Gilbert J. Greene, PhD

When parents have a child with a severe emotional and/or behavioral problem they‘ve been unable to resolve on their own, they are often directed to take the child for mental health treatment. What has often become standard practice for emotionally or behaviorally disturbed children is to label them with serious conditions, such as bipolar disorder, and treat the condition primarily with very powerful, expensive, and often multiple medications. On the other hand, there is mounting evidence that many child mental health problems are a product of chronic and problematic family relationship patterns and if these patterns can be broken, the child’s mental health problems dramatically improve, or are totally resolved. There are currently several evidencebased approaches for treating families with high-risk youth, including, but not limited to, Multisystemic Therapy, Multidimensional Family Therapy, Functional Family Therapy, and Brief Strategic Family Therapy.

 
Addressing the Prevalence of Emotional Abuse with College Age Female Students
InterSections in Practice | Issue 1 2011
SaraKay Smullens, MSW, BCD

My clinical concentration focuses on an invisible prevalence in family living: the repetitive nature of strong patterns of emotional abuse within families. I have codified five of these often-ignored patterns of emotional abuse that are ruthless in their impact during the developmental years: rage, enmeshment, rejection and abandonment, complete neglect, and extreme overprotection and overindulgence (Smullens, 2010).

 
STUDY FINDS SOCIAL WORK ADMINISTRATORS EARN HIGHEST SALARIES
Administration/Supervision Section Connection | Issue 1 2010
Tracy Whitaker, DSW, ACSW

To provide a clearer picture of social work salaries, the NASW Center for Workforce Studies administered the first compensation and benefits study of the social work profession in the fall of 2009. To broaden representation of the profession beyond the NASW membership, NASW partnered with five other social work membership organizations: Association of Oncology Social Work, National Hospice and Palliative Care Organization, National Network for Social Work Managers, Rural Social Work Caucus, and Society for Social Work Leadership in Health Care. The findings highlighted here are based on 17,911 practicing social workers who confirmed paid employment or self-employment on October 1, 2009, in a social-work-related position (NASW Center for Workforce Studies, 2010).

 
ETHICS CORNER: CREATING AGENCY POLICY TO PREVENT ETHICAL LAPSES
Administration/Supervision Section Connection | Issue 1 2010
Jed Metzger, PhD, LCSW

Introduction It has been well established that the social work profession is guided by our Code of Ethics (NASW, 2008). Discussions of ethical concerns are a regular part of the curricula at all accredited schools of social work and a regular feature in this newsletter. Yet ethical consideration of organizational practice areas remains a subject with limited coverage (Meacham, 2007). It is the perspective of this article that professional social workers are well positioned and obligated by the Code to assist the organizations that employ them to help develop organizational/agency policy to prevent ethical lapses.

 
Inaugural Edition of Social Work and the Courts’ Section Connection Newsletter
Social Workers and the Courts Section Connection | Issue 1 2010

Welcome to the inaugural edition of Social Work and the Courts’ SectionConnection newsletter. This edition debuts in the new electronic formatfor Specialty Practice Section newsletters in support of NASW’s Green Initiative. Included in this edition are national policy issues in criminal justice reform; a book review on conducting child custody evaluations; and information on the NASW Legal Defense Fund (LDF), a member resource we encourage you to use. LDF provides financial legal assistance and support for legal cases and issues of concern to NASW members and the social work profession, as well as offers pertinent legal resources, such as amicus curiae (friend of the court) briefs, “Legal Issue of the Month” articles, and Law Notes.

 
Criminal Justice Reform: Why Social Workers Should Care
Social Workers and the Courts Section Connection | Issue 1 2010

Extraordinary increases in the nation’s prison population—approximately 2.3 million people as of 2008, according to a recent Pew Foundation report—have driven a steadily growing movement to reform the criminal justice system. While the initial impetus for change came from reform advocates, the movement now has a very broad range of adherents, including law enforcement agencies and associations, national associations representing the criminal justice workforce, state departments of corrections, local governments, federal departments and agencies, and the Executive Branch and members of Congress. Given this level of support, it is clear the momentum for overhauling the criminal justice system is irreversible and long term.

 
Exploring Perspectives on Hawaiian Sovereignty
Social and Economic Justice & Peace Section Connection | Issue 1 2010
Benita Cunningham, LCSW

The Hawaiian Islands are known nationally and internationally as the islands of “Aloha,” which in its simplest translation means “love.” The Hawaiian Islands are where travelers around the world come to experience some of the world’s greatest hospitality and scenery while experiencing an advertised dream of never-ending bliss. However, many of these travelers and others are unaware of Hawaii’s epic and tumultuous history as a sovereign independent nation that eventually became America’s 50th state. This article provides an overview of the issue of sovereignty of the native Hawaiian people, who are also known as the Kanaka Maoli, focusing on why their sovereignty, or the right to govern and determine their own future, is so important to them and measures they are exploring to obtain sovereignty. The second purpose of this article is to educate social workers about the Kanaka Maoli to encourage them to support and affirm this indigenous, aboriginal people, as well as to assist with confronting the social injustices for all native people, including the Kanaka Maoli...

 
Three Women, Two Mothers, One Adoption: Reflections Upon Reunion
Child Welfare Section Connection | Issue 1 2010
Karen Jick, MSSW, LCSW

Research on reunion in adoption typically includes the adoptive parents in terms of their support of search and the reunion process. Adoptive parents express concern about how the reunion will affect their child, whether or not their child will be accepted by the birth parent, whether they will lose their child to the birth parent, whether they will be judged by both the child and the birth parent, and how they themselves will integrate the new experiences into their lives. In 1982, Depp conducted a small study involving six adoptive parent couples. She found that initially, adoptive parents felt the most threatened of the three parties by reunions but perceived the reunion experience itself as positive. She concluded that “adoptive parents are capable of coming to appreciate the adoptee’s need for a reunion” (Depp, 1982, p. 118). Petta and Steed (2005) studied 21 adoptive parents who had participated in such reunions...

 
Clinical Interventions for Service Members Experiencing PTSD and Substance Abuse
ATOD Section Connection | Issue 1 2010
Michael McCarthy, MSW

Eight years of combat in Iraq and Afghanistan have increased the visibility of the mental health needs of returning service members and the services that are available to them. Much of this focus has been on service members with post traumatic stress disorder (PTSD). However, recent research has documented the complex interaction between PTSD and a number of social, demographic, and behavioral considerations. One of the most important of these considerations is the relationship between alcohol abuse and PTSD. In a comprehensive literature review, PTSD was found to be predictive of alcohol abuse, while alcohol abuse exacerbated PTSD symptoms (Jacobsen, Southwick, & Kosten, 2001)...

 
Violence in Social Work Practice
Mental Health Section Connection | Issue 1 2010
Christina E. Newhill, PhD, LCSW Lynn P. Hagan, PsyD, LCSW

Violence in the workplace continues to be a critical issue in this country for a wide range of workers who serve the general public, including convenience store clerks, cab drivers, teachers, nurses, and social workers. Violence actually happens relatively rarely, with, of course, some exceptions. Because the odds are usually in favor of violence not occurring, social workers can have a false sense of security and not take precautions necessary to ensuring their safety. When violence does occur, the effects can be devastating. Incidents of client violence toward social workers, including quite serious ones, are continuing to occur. Literature confirms that client violence toward social workers, both nationally and internationally, does occur and warrants action and concern...

 
Managing Lack of Insight in Individuals with Serious Mental Illness
Mental Health Section Connection | Issue 1 2010
Christina E. Newhill, PhD, LCSW

One of the most perplexing and frustrating situations for social workers in mental health settings is trying to engage and help an individual with serious mental illness who lacks insight into his or her illness and, thus, refuses to accept treatment. The following is one example: Since her first episode of illness, Jamie has had ten involuntary hospitalizations, over the course of two years, for the treatment of schizophrenia. During each hospitalization, Jamie’s psychiatrist and social worker tried to help her understand her illness and the importance of taking medication to improve her daily functioning. Her family participated in family psychoeducation sessions with the social worker, but Jamie continued to refuse medication or any form of psychosocial treatment, stating “I am not the problem here!” With only intermittent treatment, Jamie’s symptoms became more chronic and unremitting in nature, and her psychosocial functioning significantly deteriorated. Finally, her family turned to the courts for support and obtained an order of conservatorship that forced Jamie to accept outpatient treatment and medication. Jamie was incensed at the court’s action, and, subsequently, she borrowed money from a friend and disappeared. The last time Jamie’s parents heard from her, she was engaging in prostitution to support her drug habit and living on the streets...

 
Navigating Ethics in Rural Communities
Private Practice Section Connection | Issue 1 2010
Libby Stortz, MSW, LCSW

Sitka by the Sea/Sheet K’Kwan lies on the Pacific coast of Baranof Island. With a population just over 8,000, all nestled like Petrushka dolls on 17 miles of road, it is almost entirely uninhabited by humans. Baranof Island also has two smaller communities – Port Alexander (pop. 100) on the southern tip and Baranof Warm Springs (pop. 10) on the east side of the island. In between are forest, mountains, grizzlies, deer, and the sea with an abundance of life − much of it harvested commercially and for subsistence by locals and, most importantly, the indigenous Tlingit people who have been here 10,000 years. Upon moving here from Fairbanks (pop. 60,000) in 1988, there was only one other mental health practitioner. And this remained the case for many years before the non-profits and the private sector grew. Accessible only by boat or plane, continuing education in Sitka used to be a logistical nightmare. Fortunately, we can now go online to get continuing education (CE) credits.

 
What Do You Do When a Medical Crisis Happens in the Private Practitioner’s Life?
Private Practice Section Connection | Issue 1 2010
Melanie J. Barton, LCSW, EdD

Many social workers are so engrossed in their private practice that they neglect their own health or ignore the warning signs of emerging health-related problems. Then, when a medical crisis happens, there is often no time to prepare clients or safeguard the everyday operations of their practice. Private practice clinicians often do not participate in regular consultation which could help identify emerging physical problems or the development of professional grief. Instead, some practitioners continue, unaware of growing health or mental health problems until they are mentioned by a colleague.

 
Supporting Men with Cancer: A Social Work Perspective
Health Section Connection | Issue 1 2010
Floyd Allen, LMSW

There are many challenges that become reality with a cancer diagnosis. For many patients, this illness creates great levels of anxiety and fear regarding life and one’s chance for survival. This dynamic, in turn, sets a tone that echoes throughout the process of treatment, side effects, and even post-treatment survivorship....

 
The Harlem Children’s Zone: An Overview
Children, Adolescents, Youth and Family Section Connection | Issue 1 2010
Kamilah Omari, MSW, ACSW

The Harlem Children’s Zone (HCZ) has garnered the attention of a national audience. President and CEO of HCZ Geoffrey Canada has been featured several times in the national media, including in an American Express/Take Part Members Project campaign ad that aired during Oscar night in March 2010. He also has been interviewed on 60 Minutes and the Today Show. As a model program, the Harlem Children’s Zone is the inspiration, the catalyst, and the template for this White House Administration’s Promise Neighborhoods Initiative, designed to provide planning grants to 20 communities across the United States beginning September 2010...

 
Evidence-Based Practice in School Social Work: Clarifying Concepts and Common Confusions
School Social Work Section Connection | Issue 1 2010
Jim Raines, PhD, LCSW

Len Gibbs (2003) was one of first authors to discuss evidence-based practice in social work. He describes evidence-based practice as: Placing the client’s benefits first, evidencebased practitioners adopt a process of lifelong learning that involves continually posing specific questions of direct practical importance to clients, searching objectively and efficiently for the current best evidence relative to each question, and taking appropriate action guided by evidence (p. 6)...

 
Training New Therapists: What’s Really Important to Learn
Private Practice Section Connection | Issue 2 2009
Garry Cooper, LCSW

 
Alternative Education Opportunities: Voices Found and Lost
School Social Work Section Connection | Issue 2 2009
Donald E. Baumeister, JD, EdD, SSWS

Alternative education means many different things to many different people. Alternative education can refer to schools or programs that provide non-traditional, new, or nonstandard educational options for students who are not presently academically successful in comprehensive educational environments, “paying particular attention to the student’s individual social needs and academic requirements for a high school diploma” (Smink & Reimer, 2005). Alternative education options include continuation schools—an alternative to comprehensive high school, primarily for students who are considered at-risk of not graduating at the normal pace due to disciplinary reasons, teen pregnancy, drug use, etc., or alternatively because they are mentally gifted and the regular high school pace is below their level—opportunity programs, Regional Occupational Programs (ROP), and adult education options. Martens (2004) states that alternative education settings are designed to accommodate educational, behavioral, and/or medical needs of children and adolescents that cannot be adequately addressed in a traditional school environment. Usually these students are offered the possibility of shorter school days and open-entry/open-exit formats through “participating in a variable credit” schema...

 
Mature Drivers: Loss of Driving Privileges
Aging Section Connection | Issue 2 2009
Forrest Hong, LCSW, C-ASWCM

In the beginning when we were learning to drive, the one message that seemed to always follow us was: “Driving is a privilege, not a right.” After finally passing all of the driving tests and exams, we looked forward to exploring the open roads and going wherever we pleased. License renewal was easy, and as long as we avoided moving violations and driving under the influence, we never needed to worry about losing our driving privileges. As we grow older, the worry and concern of losing the privilege to drive rest solely on our own shoulders. That is, of course, until we hit the “mature driving age” of 50.

 
Florida: The State of Senior Affairs
Aging Section Connection | Issue 2 2009
Phyllis Pastore, MSW, PhD

For decades, the state of Florida has faced the challenges of caring for an aging population with the highest percentage of citizens who are age 60 and older in the nation. In an effort to meet the needs of an aging population, Florida enacted a constitutional amendment in 1988 and a state statute in 1991 that created the Department of Elder Affairs (DOEA), which officially began operation in 1992. DOEA works with Florida’s 11 Area Agencies on Aging (AAA) that were established, as mandated, by the federal Older Americans Act of 1995. These 11 AAAs coordinate senior services for the state’s 67 counties by establishing an aging services network with local government and non-profit agencies that provide direct services to elders in Florida (Florida, DOEA, 2009b, p.9).

 
Parenting Coordination: What Social Workers Need to Know
Children, Adolescents, Youth and Family Section Connection | Issue 2 2009
Ellen Craine, JD, LMSW, ACSW

The Association of Family Conciliation and Courts (AFCC) defines parenting coordination as: [A] child-focused alternative dispute resolution process in which a mental health or legal professional with mediation training and experience assists high conflict parents to implement their parenting plan by facilitating the resolution of their disputes in a timely manner, educating parents about children’s needs, and with prior approval of the parties and/or the court, making decisions within the scope of the court order or appointment contract. (2005, p. 2)...

 
Providing Quality, After-School Programming to Children and Youth
Children, Adolescents, Youth and Family Section Connection | Issue 2 2009
Jim Murphy Michael Schmidt, ACSW, LCSW

Many of us may have fond memories of returning home from school and having one of our parents greet us with a homemade snack and a warm smile, inquiring about our day, and being ready to assist us with homework or play a game. Such experiences, however, are increasingly rare due to the number of dual-income and single-parent families, extended working hours, and lengthy commutes. Children today are frequently left on their own after school to navigate the complexities of our world, without the security of having engaged, responsible adults available to provide the necessary support during school transitions and non-school times. Current economic and social conditions have further compounded the situation...

 
Children and Chronic Illness: Helping a Child Cope
Health Section Connection | Issue 2 2009
Judy Orbach, LCSW

Helping a child live with a chronic illness is a constant balancing act−for the parents, the family, and the sick child. Parents want their children to be healthy, happy, and active participants in a multitude of nurturing activities that give them joy. But when children develop chronic illnesses, everything that was once dependable and routine can suddenly change, often keeping them from experiencing the very activities that once provided fun and engagement. The entire family system is also affected (Mussatto, 2006), as attention is turned toward the sick child.” Families often experience intense anxiety, helplessness, and fear. Social workers can help families cope with feelings, negotiate the medical system, find appropriate resources, feel empowered, and enhance natural sources of resilience and support” (Mizrahi & Davis, 2008)...

 
A Child's Grief
Child Welfare Section Connection | Issue 2 2009
Holly Arnold, ACSW, LCSW

It is evident that children experience the world differently than adults. Children pass through the same stages of grief as adults; however, they grieve and express their grief in much different ways. It is natural for children to be interested in death as a “normal part of cognitive, social and personality development” and it is important to understand that this development will occur whether “guided, distorted, or neglected by adults” (Kastenbaum, 2000, p. 10). It is equally important to recognize that children are still developing cognitively, and the concept of death can be a very difficult thing for children to grasp. Nonetheless, children tend to understand what death is and what their loss means to them, to some degree; but frequently, they cannot withstand the pain that accompanies their level of understanding (Ward-Wimmer & Napoli, 2000)...

 
Postpartum Mood Disorders: Baby Blues and Beyond Part II
Mental Health Section Connection | Issue 2 2009
Lynn Purnell Hagan, PsyD, LCSW

 
Risk Taking Behaviors Among Children and Adolescents: Implications for Today and the Future
Child Welfare Section Connection | Issue 1 2009
Joycelyn Curtis PhD, LCSW, LISW-CP

Could children and adolescents truly be at greater risk of serious injury or death today, due to risky behaviors, than they were a decade ago? At first glance, the answer appears to be “No.” When we delve a bit deeper into modern culture, though, a troubling trend appears to emerge...

 
Communicating with Adolescents About Sexuality
Child Welfare Section Connection | Issue 1 2009
Lorna Littner, MS, LMSW

Sexuality is a core aspect of our being. It reflects our biology, psychology, cultural and social context, and religious and spiritual roots. Understanding the holistic nature of sexuality is important for social workers who treat or provide services for adolescents in various practice settings...

 
Postpartum Mood Disorders: PART I — Baby Blues and Beyond
Mental Health Section Connection | Issue 1 2009
Lynn Purnell Hagan, PsyD, LCSW

 
Student Attends the Fourth International School Social Work Conference in New Zealand — April 11-17, 2009
School Social Work Section Connection | Issue 1 2009
Susan Dunfee

 
How to Have a Successful Joint Commission Survey
Health Section Connection | Issue 1 2009
Caroline Perlman Cahn, LCSW-C

The Joint Commission, formerly known as the Joint Commission on Accreditation of Healthcare Organizations, is an independent, not-for-profit organization that accredits health care agencies by evaluating quality and safety standards of care. Each health care organization—whether it’s a general hospital, long-term care, ambulatory care, or behavioral health care facility—is evaluated by an on-site team of health care professionals at least once every three years (“What Is the Joint Commission,” 2009). In the United States, the Joint Commission accredits over 16,000 organizations (“Facts about the Joint Commission,” 2009) and works with the federal government to improve health care standards...

 
NASW News From the Hill
Health Section Connection | Issue 1 2009

We need you to speak out on behalf of our nation's service men and women once more. Congressman Denny Rehberg from Montana has introduced the companion bill to S. 711, the Post Deployment Health Assessment Act of 2009. We appreciate the immense support for S. 711 and we must ensure these bills garner broad support in the House and Senate...

 
Paternal Resources Available in Child in Need of Protection and Services (CHIPS) Cases
Child Welfare Section Connection | Issue 2 2008
Karen Jick, MSSW

 
Lessons from Modern Wars: Shell Shock to PTSD
Private Practice Section Connection | Issue 2 2008
Lynn Hagan, PsyD, LCSW

 
What to Expect From the Fourth International School Social Work Conference
School Social Work Section Connection | Issue 2 2008
Michael Belgrave, BSocSci, MPhil, PhD

 
Burnout: Helping Employees in their Environment
Private Practice Section Connection | Issue 1 2008
Kathleen Sargeant, MSW, LCSW

 
The Illinois Example: Lessons Learned From More Than 3,000 School Social Workers
School Social Work Section Connection | Issue 1 2008
Michael S. Kelly PhD, LCSW

 
Supporting Grieving Children
Children, Adolescents, Youth and Family Section Connection | Issue 1 2008
Kristin James, LCPC Noe Mojica, LSW, MDiv

Children are disadvantaged as grievers. They do not have the same language abilities, cognitive understanding, and experience that adults do. Children look to adults for cues in how to grieve. They are affected by the emotions of others and learn the “rules” for grieving from observing others. Professionals have an opportunity to role model permission for a variety of feelings and help in identifying support systems...

 
Evidence-Based Practice and the California Clearinghouse for Child Welfare: Great Tools for Social Workers
Child Welfare Section Connection | Issue 1 2008
Haluk Soydan, PhD

 
First Steps for Families Concerned About Drug Involved Teens
ATOD Section Connection | Issue 2 2007
Gary Direnfeld, MSW, RSW

 
PET THERAPY
Private Practice Section Connection | Issue 2 2007
Myrna N. Moran, MSW, LCSW

 
Corporal Punishment: Alive and Well in America’s Schools
School Social Work Section Connection | Issue 1 2007
Gary L. Shaffer, PhD, ACSW

Corporal punishment has existed in American schools since early colonial times, but the debate about its usefulness continues today. Twenty-one states permit this practice, while 29 states and the District of Columbia banned corporal punishment and instituted nonviolent alternatives to address student comportment.

 
NASW Government Relations Update
School Social Work Section Connection | Issue 1 2007

January 4, 2007 was the beginning of the newly elected, Democratic controlled Congress. With Representative Nancy Pelosi (D-CA-38) as the first woman Speaker of the House and Senator Harry Reid (DNV) as the new Majority Leader in the Senate, the 110th Congress is off to a great start. With 2006 election cycle being titled the “Year of the Woman,” this Congressional class represents a more diverse class than ever before. Below, please see the ethnic diversity breakdown of the 110th Congress:

 
Risk Taking Behaviors Among Children and Adolescents: Implications for Today and the Future
Children, Adolescents, Youth and Family Section Connection | Issue 1 2007
Joycelyn Curtis, PhD, LCSW, LISW-CP

According to government statistics, risky behaviors that contribute to the leading cause of death and serious injury categories among children have decreased. Yet new reports of children and adolescents engaging in risky behaviors that lead to death, serious injury, or dismemberment are widely reported. Social workers, parents, and society in general must be proactive, empowering, and knowledgeable when working with adolescents. So much is at stake, in terms of lives lost and the financial costs associated with risky behaviors. But most importantly, in protecting our children, we are safeguarding their future happiness and the future of our country.

 
Blogging: Therapeutic or Harmful for Kids?
Children, Adolescents, Youth and Family Section Connection | Issue 1 2007

The long-recognized healing power of writing can also unfold in old-fashioned, paper-based journaling or diary-keeping. However, in today’s world, social workers should not discount blogging as an option. When the proper safeguards are in effect, online conversations can prove a powerful extension of in-person therapy for today’s seemingly wired-from-the-womb kids.

 
An Insider’s Look at California’s Juvenile Halls
Child Welfare Section Connection | Issue 1 2007
Carol A. Langone, MSW, LCSW

 
Osteoporosis as the Silent Thief in Women of All Ages
Health Section Connection | Issue 1 2007
Shari Munch, MSW, PhD, LCSW and Sarah Shapiro, MSW, LMSW

Osteoporosis is a major public health concern because of the subsequent disability, diminished quality of life, and high mortality rates for those afflicted, according to the World Health Organization (1999). The perception that osteoporosis is an older person’s disease, however, is an erroneous one. Osteoporosis does not discriminate by age, according to the National Osteoporosis Foundation (NOF, 2007). It is important that health social workers be alert to the early onset of this debilitating disease that affects clients of all ages.

 
Current Trends In Eating Disorders Among Adult and Adolescent Men
Health Section Connection | Issue 1 2007
Holly Arnold, MSW, LSW

Since eating disorders are so often associated with females, men with EDs are often overlooked (Andersen, Cohn, & Holbrook, 2000). Health care professionals do not usually think of eating disorders occurring in men, so important diagnoses are often missed (Andersen, Cohn, & Holbrook, 2000). Therefore, it is essential that social workers become aware that men are at risk for eating disorders, and that they screen clients for EDs when possible. Interacting with each new client, social workers have an opportunity to save lives and stem the increasing cases of males with EDs by improving their ability to diagnose male EDs and by continuing to deepen their understanding of EDs among men and adolescent males.

 
NASW Government Relations Update
Mental Health Section Connection | Issue 1 2007

 
Can Young Children Really Get Depressed?
InterSections in Practice | Spring 2007
Lynn Purnell Hagan, PsyD, MSW, LCSW

A group of childhood research centers in Boston, Chicago, New Orleans, Washington, DC, St. Louis, MO, and Durham, NC, are now looking at the minds of preschoolers anew (Zito et al., 2002). In addition to finding depression, they are finding preschoolers with other psychiatric disorders, including posttraumatic stress disorder, behavioral disorders in which children severely injure others or themselves, bipolar disorder, and various anxiety disorders.

 
When Depression Leads to Suicide: What the Numbers Tell Us
InterSections in Practice | Spring 2007
Jerry Reed, MSW Lidia Bernik, MHS

It is not enough to seek to prevent suicide by focusing exclusively on one risk factor, such as depression or gender. Suicide is not easily predicted, as it is “a consequence of complex interactions among biological, psychological, cultural and sociological factors” (Goldsmith, Pellmar, Kleinman, & Bunney, 2002, p. 26). While suicide prevention is often thought of under the purview of mental health, numerous reports and studies have highlighted the need for a multifaceted approach.

 
Gerontological Administrators Find Support from Peers in Journal Club
Aging Section Connection | Issue 2 2006
Barbara H. Rinehart, PhD, LCSW

This journal club model is an example of a group structure that can be used by other social work administrators seeking continuing education and learning, desiring to strengthen their social work values, and wishing to be involved in a peer support group.

 
NASW Government Relations Update
School Social Work Section Connection | Issue 2 2006

 
University Students Find New Purpose in Katrina-torn New Orleans
School Social Work Section Connection | Issue 1 2006
Emily Faye Ratner

 
SAMHSA News Describes Successful Treatment: Drug Court Alternative to Incarceration
ATOD Section Connection | Issue 1 2006

 
Avoiding Ethical Mishaps in a Post-Disaster Environment.
Aging Section Connection | Issue 1 2006
Krystie Scamehorn, MSW, LCSW

The news coverage of hurricanes over the past year has brought needed attention to the issue of emergency care and protection for older adults during and after a disaster. Older people who survive a disaster may emerge with additional frailties or may feel even more vulnerable. In such cases, it is important that social workers have a practical framework for addressing ethically sensitive issues that may arise while caring for older people in a post-disaster environment.

 
Protecting Children in the Midst of the Storm
Children, Adolescents, Youth and Family Section Connection | Issue 1 2006
Yan Dominic Searcy, PhD, MSSW

New Orleans, along with other cities in Louisiana, Alabama, and Mississippi, is on the long road to recovery. Recognizing that the damage was not only physical but also emotional, NASW and Louisiana State University partnered with the U.S. Department of Veterans Affairs’ National Center on Post-Traumatic Stress Disorder to sponsor a Day of Understanding and Healing for Mental Health Professionals on December 2, 2005. Numerous OCS staff attended. The most important lesson to be learned is that when states like Louisiana make children’s needs a priority, there can be positive stories even in times of a disaster.

 
Communicating with Adolescents about Sexuality
Children, Adolescents, Youth and Family Section Connection | Issue 1 2006
Lorna Littner, MS, LMSW

Sexuality is a core aspect of our being. It reflects our biology, psychology, cultural and social context, and religious and spiritual roots. Understanding the holistic nature of sexuality is important for social workers who treat or provide services for adolescents in various practice settings. Sexuality can be expressed in many ways, not just through genital behavior. For example, we express sexuality through body image, gender presentation, and social roles, and through the nongenital expression of affection, love, and intimacy. Learning about intimacy and relationships and understanding their sexuality are important developmental tasks for adolescents.

 
VA Social Workers Assist Victims in Several States
Health Section Connection | Issue 1 2006
Jennifer Summers, MSW, LICSW

Hurricane Katrina hit the Gulf Coast with devastating effects on August 29, 2005. Hurricane Rita followed a similar path through the region on September 24, and Hurricane Wilma struck the southern United States on October 24. After each of these hurricanes, social workers with the Department of Veterans Affairs (VA) assisted survivors in several locations, including Gulfport, Mississippi, Washington, DC, Houston, and Atlanta.

 
The Disparity in Screenings for Fetal Alcohol Spectrum Disorders
InterSections in Practice | Fall 2005
Laura LaRue Gertz, LCSW, ACSW

Despite widespread public health warnings, many people are unaware that drinking during pregnancy is unsafe to the fetus. Mixed social messages can confuse the general public into thinking it is okay.

 
What Health Care Social Workers Should Know about Adherence Issues
Health Section Connection | Summer 2005
Lisa E. Cox, PhD, LCSW, MSW

The social work department is one of the key providers of health care services in the VHA. Social work activities, in fact, go beyond clinical services and include an increasing emphasis on research initiatives and the training of university social work students. During the 2004–2005 school year, the VHA had 600 social work interns engaged in an array of clinical services and programs.

 
Clinical Trials: A Fascinating Venue
Health Section Connection | Summer 2005
Lisa E. Cox, PhD, LCSW, MSW

What is a clinical trial, you ask? A clinical trial is an organized study of an experimental or unproven drug to determine the drug’s safety and effi cacy. In other words, it is a research study to answer specifi c questions about a medication or a new way of using a known treatment. Clinical trials, which are often funded by the government, can take place in a variety of locations, such as hospitals, universities, doctors’ offi ces, or community clinics. Participants of clinical trials are seen regularly during the trial by staff, who monitor their health and determine the safety and effectiveness of the treatment. Increasingly, social workers are included on the multidisciplinary health care and research teams that design, implement, and evaluate clinical trials.

 
National Survey of VHA Social Work Intern Projects and Research
Health Section Connection | Summer 2005
Mel Tapper, PhD, LICSW

The social work department is one of the key providers of health care services in the VHA. Social work activities, in fact, go beyond clinical services and include an increasing emphasis on research initiatives and the training of university social work students.

 
Reasserting Our Expertise in Health Care Settings
Health Section Connection | Spring 2005
Terry Altilio, LMSW, Mary Sormanti, PhD, LCSW & Iris Cohen Fineberg, PhD, LCSW

Social workers also made significant contributions in specialized practice areas such as nephrology, hematology/oncology, and pediatrics. Increasingly, the fields of palliative care and pain management are opportunities for social work presence and visibility. For the fi rst time, a textbook on pain management will have a chapter on the role of social work. Internet listservs have created venues for specialized clinicians to network, advocate, and organize in a manner that was impossible in years past. In many ways we are poised to reassert and invigorate our presence and expertise in this rich, varied, and expanding field of health care social work.

 
Diversity in Canada: Implications for Cross-Cultural Social Work Practices
Social and Economic Justice & Peace Section Connection | Spring 2005
Ramon M. Salcido, DSW, and Vincent Ornelas, PhD, MSW

 
Wisconsin Delineates the Roles of School Social Workers, Counselors, Nurses, and Psychologists
School Social Work Section Connection | Summer 2005
Nic Dibble, CISW, CSSW; Linda Caldart-Olson, RN, MS; John Humphries, NCSP; and Gary Spear, EdS

 
Psychiatric Medications: A Response to Consumer Concerns
Private Practice Section Connection | Spring 2005
Theresa Earthly, MSW

 
Alzheimer’s Disease Care Continuum: Where We Can Do Better
Aging Section Connection | Spring 2005
Amy Fox, RN, MSW

This article is not intended to tackle the issue of fi nancial diffi culties faced by families of these patients, which is a truly complicated topic that warrants advocacy for nothing less than policy change in our health care system. Instead, what is attempted here is a presentation of the hazards and pitfalls that this clinician’s families have encountered while struggling to live with the illness as it bounces their loved one along today’s continuum of care. A few suggestions are provided, with an invitation to respond.

 
Rites and Rights of Older Women in Ghana
Aging Section Connection | Spring 2005
Brenda F. McGadney-Douglass, MSW, PhD

Cross-cultural training initiatives in aging between social work practitioners in industrialized and developing countries are important to further the awareness of aging in Africa. Furthermore, such training is important to promote or assist in developing services for older adults, to conduct education and training programs, and to cooperate with African governments and other organizations in policymaking, services, and research (AGHE, 2003; Andrews, 2003; McGadney- Douglass, 2002).

 
Students’ Corner: Social Work Interventions With Gay, Lesbian, Bisexual, and Transgender Youth: the Need for Intervention
School Social Work Section Connection | Spring 2005
Debra A. Schillinger, MSW

 
Developing a Social Work Labor Force to Meet The Increasing Demand for Substance Abuse Services in the United States
SPS ATOD Practice Update | Winter 2005
Mickey J.W. Smith, ACSW Senior Policy Associate, Behavioral Health

...the Bureau of Labor Statistics (BLS) indicates job opportunities in the substance abuse treatment arena will grow rapidly between 2002 and 2012, particularly for the social work profession (BLS, 2004). Data from the third survey of the NASW Practice Research Network (PRN) describe current activities that social workers are involved with in the substance abuse treatment and prevention field, as well as document the need for increased professional development in this area.

 
HIV/AIDS and Hepatitis Co-Infection: An Emerging Health Issue
SPS Health Practice Update | Winter 2005
Evelyn P. Tomaszewski, MSWProject Director

Once viewed as an acute health condition often resulting in lethal opportunistic infections and early death, the advent of multiple anti-HIV regimens has moved HIV/AIDS into the realm of chronic manageable disease. This transition to a chronic illness brings a new and emerging set of health concerns associated with persons living with HIV/AIDS. One example is the increasing risk of hepatitis co-infection for persons living with HIV/AIDS.

 
What Social Workers Need to Know About Genetics
InterSections in Practice | Fall 2004
Joan O. Weiss, ACSW, LICSW

Social workers do not have to become experts in genetics, but they will need to start incorporating genetic thinking and genetic principles in their practices. Social workers should be able to include genetic information in family histories; understand basic genetics terminology and patterns of inheritance; know how and when to make referrals to genetic counselors and genetic clinics; and understand the psychological, ethical, and social implications of genetic services.

 
A Focus on Latinos: Language and Service Access Issues
Social and Economic Justice & Peace Section Connection | Summer 2004
Ramon Salcido, DSW and Vincent Ornelas, MSW

 
Group Psychotherapy: Consultation and Supervision
Private Practice Section Connection | Summer 2004
Stephen E. Knezek, RN, LCSW, CGP

 
California Study Verifies Need for More Support Services
School Social Work Section Connection | Summer 2004
Jackie M. Allen, EdD, MFT, NCC, NCSC

 
Students’ Corner: Faces and Voices of Refugee Youths
School Social Work Section Connection | Spring 2004
Joy Wawrzyniak, BS, and Amie Anger, BS

 
Book Review of Psychosocial Treatment for Medical Conditions: Principles and Techniques Edited by Leon A. Schein, Harold Bernard, Henry Spitzz, and Philip Muskin
Private Practice Section Connection | Spring 2004
Reviewed by Mirean Coleman, MSW, LICSW, CT

 
Educational Resources for Health Care Social Workers
Health Section Connection | Spring 2004
Lisa E. Cox, PhD, LCSW, MSW

Currently, social workers in health care help clients and their families cope with acute, chronic, or terminal illnesses, and manage issues that may impede recovery or rehabilitation. They also provide informational and referral services to family caregivers, counsel clients, and help plan for clients’ needs after discharge by arranging for home health services—from meals-on-wheels to oxygen equipment. Some social workers participate on interdisciplinary teams that evaluate particular geriatric or organ transplant clients. The health-related settings where social workers provide social services are now governed by managed care organizations. Because of the presence of managed care, social workers in health care often must grapple with ethical issues (Flynn, 2000; Reamer, 1999) surrounding the realities of cost containment, short-term intervention expectations, ambulatory and community-based care, and greater decentralization of services.

 
Practice Research Network II Results
SPS Mental Health Practice Update | Fall 2003
Mickey J. W. Smith, MSW

This update describes the results of the second Practice Research Network (PRN II) survey conducted by the National Association of Social Workers (NASW) as a collaborative project funded by the Center for Substance Abuse Treatment (CSAT), Substance Abuse and Mental Health Services Administration (SAMHSA). The PRN II survey objectives were to develop broad knowledge about social workers’ practices, along with more specific knowledge about social workers who provide substance abuse treatment services. The focus of this update, however, will be the PRN II survey data relevant to social workers who provide mental health services.

 
The Implementation of California’s Proposition 36: Lessons Learned Thus Far
ATOD Section Connection | Summer 2003
Melinda Hohman, PhD, and Virginia Chalmers, BA

 
Internet Resources for Health Care
Health Section Connection | Summer 2003
Stuart Kaufer, ACSW, CSW

The following is a short list of Web-based resources that are useful for policy and practice issues. Some have archived Webcasts of Congressional briefings or testimony; others allow one to communicate directly with policymakers. There are hundreds more, and we invite you to comment and add to this list so that it can be a resource for members of the health section.

 
A Focus on the Foreign-Born
Social and Economic Justice & Peace Section Connection | Summer 2003
Ramon M. Salcido, DSW, Vincent Ornelas, MSW, and Toby Hur, MSW

 
School Social Worker’s Roles in Facilitating Parental Involvement in Schools
School Social Work Section Connection | Spring 2003
Elizabeth Christmas, Amy Steele, Jamie Varner, and Laura Williams, MSW School Social Work Interns

 
Our Changing Demographic Landscape: Focus on Latinos
Social and Economic Justice & Peace Section Connection | Spring 2003
Ramon M. Salcido, DSW, and Vincent Ornelas, MSW

 
California's New School Social Work Standards
School Social Work Section Connection | Fall 2002
Joseph D. Dear, EdD

 
Elder Abuse: Practice Issues
Aging Section Connection | Fall 2002
Julie H. Grocki, MSW

In a recent article I imparted general information on how elder abuse is a current national dilemma. Since then, the well-publicized Special Committee on Aging (March 1, 2002) indicates that the federal government is beginning to give more attention to victimized elderly people. The staggering statistics of the annually increasing reports signify that more needs to be done on all levels. This article focuses on awareness and practice techniques that social workers can use to help mitigate the suffering of elderly people who are being victimized.

 
Elder Abuse in the United States
Aging Section Connection | Fall 2002
Ellen Goldman Rosen, MSW, LSW

In 1987 the federal government created definitions of elder abuse, neglect, and exploitation as part of the Amendments to the Older Americans Act. Abuse now requires mandatory reporting. However, there are no specific laws to protect this group. There are three basic categories of elder abuse: (1)domestic elder abuse, (2)institutional elder abuse, and (3)selfneglect (NCEA, 2002).

 
NASW’S Membership At-A-Glance
InterSections in Practice | Fall 2002
Nancy Bateman, LCSW-C, Manager, Specialty Practice Sections

The data for this report was drawn from membership information and informed by the NASW Practice Research Network (PRN) Survey, 2000. Conducted in the spring of 2000, the NASW PRN survey captured demographic and practice data from a random sample of 2000 regular NASW members. Because of the sampling techniques and the high response rate (81 percent), which minimized potential for selectivity and non-response bias, these results are highly representative of NASW membership.

 
When Your Difficult Older Parent Dies
Aging Section Connection | Fall 2002
Grace Lebow, LCSW-C, and Barbara Kane, LCSW-C

It is always hard to lose a parent. It is especially hard when you lose a parent toward whom you have had negative or ambivalent feelings. Mourning such a parent is much more complex grieving the loss of a parent with whom you had a loving and positive relationship. There is a profound sense of sadness and loss about something one never had. You have lost a parent with whom your relationship was not good. There is no longer the chance to improve the relationship and to win acceptance and love. Many grown children who have come for counseling over the death of a difficult parent have told us that their sadness is mostly over the lost opportunities.

 
 
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