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Michael J. Holosko

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Beschreibung

A lifespan approach presenting evidence-informed interventions for working with individuals and families

Social Work Practice with Individuals and Families covers assessment of and intervention with children, adolescents, adults, the elderly, and families. It offers an array of pedagogical features within each chapter, as well as online resources and review questions at the conclusion of each chapter to help guide critical thinking about topics.

Reflecting the current state of evidence-informed social work practice, each chapter's contributors emphasize the incorporation of wider forms of systematically collected data such as case studies, best or promising practices, and consumer-focused data. Reading this book will not only give readers the tools to work effectively with individuals and families, but also develop their skills in evidence informed practice.

Comprehensive and insightful, Social Work Practice with Individuals and Families is a student- and practitioner-friendly text identifying the best assessment tools and strategies available for social workers to successfully serve individuals and families facing a broad range of challenges.

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Veröffentlichungsjahr: 2012

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Table of Contents

Title Page

Copyright

Dedication

Preface

Acknowledgments

About the author

Contributors

Chapter 1: Assessment of Children

Defining Assessment

Historical Background

Evolving Ecological-Systems Perspective

Biopsychosocial Assessment Report

Summary of Current Evidence-Based Assessment of Children

Emerging Trends in Child Assessment

Implications for Social Work on Micro-, Mezzo-, and Macrolevels

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 2: Intervention With Children

Development of EBPs for Children at Risk for Emotional or Behavioral Problems

Current EBPs With Children

Limitations of the Evidence

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 3: Assessment of Adolescents

Evidence-Based Assessment With Adolescents

Limitations of Evidence-Based Assessment With Adolescents

Treatment Goals

Implications for Social Work

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 4: Intervention With Adolescents

Overview of Issues and Problems Facing Adolescents

Promising Programs of Prevention and Intervention

Promoting the Development of Competencies and the Prevention of Disorders

Substance-Abuse-Prevention Programs

Promising Treatment Programs

Ongoing Treatment and Case Management

Considerations in Service Delivery

Motivation for Treatment

Context and Focus of Treatment

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 5: Assessment of Adults

Historical Background

Summary of Current Evidence-Based Assessment for Individuals

Evidence-Based Assessment

Implications for Social Work on Micro-, Mezzo-, and Macrolevels

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 6: Intervention With Adults

Historical Background

Summary of Useful Resources

Limitations of the Evidence

Implications for Social Work at the Micro-, Mezzo-, and Macrolevels

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 7: Assessment of the Elderly

Historical Background

Elements of the Comprehensive Assessment

Mental Status

Functional Assessment

Medical History and Nutritional and Health-Behaviors Assessment

Assessment of Emotional Well-Being

Assessment of Social, Economic, and Environmental Well-Being

The Care Plan

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 8: Intervention With the Elderly

Historical Background

Summary of Current Evidence-Based Interventions With the Elderly

Limitations of the Evidence

Implications for Social Work at Micro-, Mezzo-, and Macrolevels

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 9: Assessment of Families

Historical Background

Current Evidence on the Assessment of Families

Limitations to the Evidence on the Assessment of Families

The Assessment Process Within Social Work Practice—Micro-, Mezzo-, and Macrolevels

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Chapter 10: Chapter Chapter 10: Intervention With Families

Historical Background

Summary of Current Evidence-Based Intervention With Families

Cognitive Behavior Therapy With Parent Component

Limitations of Evidence-Based Family Interventions

Implications for Social Work Practice

Conclusion

Key Terms

Review Questions for Critical Thinking

Online Resources

References

Author Index

Subject Index

Cover Design: Andrew Liefer

Cover Images: Background bottom image: © javarman3/iStockphoto, Inset left: © Miodrag Gagic/iStockphoto, Inset middle: © Aldo Murillo/iStockphoto, Inset right: © Christopher Futcher/iStockphoto

This book is printed on acid-free paper.

Copyright © 2013 by John Wiley & Sons, Inc. All rights reserved.

Published by John Wiley & Sons, Inc., Hoboken, New Jersey.

Published simultaneously in Canada.

No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning, or otherwise, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 646-8600, or on the web at www.copyright.com. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, (201) 748-6011, fax (201) 748-6008.

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Library of Congress Cataloging-in-Publication Data:

Holosko, Michael J.

Social work practice with individuals and families : evidence-informed assessments and interventions / Michael J. Holosko, Catherine N. Dulmus, Karen M. Sowers.

p. cm.

Includes bibliographical references and index.

ISBN 978-1-118-17697-9 (pbk.)

ISBN 978-1-118-41935-9 (ebk.)

ISBN 978-1-118-42091-1 (ebk.)

ISBN 978-1-118-43378-2 (ebk.)

1. Family social work. 2. Social work with children. 3. Evidence-based social work. 4. Social case work. I. Dulmus, Catherine N. II. Sowers, Karen M. (Karen Marlaine) III. Title.

HV697.H66 2013

361.3′2—dc23

2012022694

We have many blessings to be thankful for each day of our lives. The extent to which we actually count our blessings and give thanks is less well certain.

I dedicate this volume to my life partner, spiritual anchor, ego-validity checker, and reality-grounded spouse, Deborah Ann Holosko, whose support, love, and inspiration are what drives me to be me. Thank you for being you, Ann.

—Michael J. Holosko

Preface

North American social welfare and social work as we know it today evolved in the United Kingdom from the Elizabethan Poor Laws of 1601, more specifically the Act for the Relief of the Poor. Thus, it was social policy that set the framework for the provision of goods and services doled out to the have-nots of society. Since its inception then, social policy has directed social work practice and from the 19th century onward, social research has informed social work practice.

Social Work Practice With Individuals and Families: Evidence-Informed Assessments and Interventions reiterates that these two cornerstone principles of social work have never wavered. What has changed, however, are our societies, economies, and the social/political context that shape how social workers deliver services to those in need, or the vulnerable populations who are our clients. Thus, this volume links policy-practice to research and evaluation in each chapter within it.

The point of departure for each chapter is how research and evaluation document, critically appraise, assess, and provide empirical evidence for our day-to-day activities in direct practice—that being face-to-face interactions with individuals and families, or the lifeblood of social work practice. The chapters cut across the life span from children to adults, to the elderly. For each of these cohorts, material is presented that shows how to both assess and use intervention evidence judiciously. This volume shows clearly how our profession has matured, by continually making the aforementioned connections throughout research and evaluation ↔ policy-practice, and assessment ↔ intervention, and the mechanism to achieve these intersecting areas is empirical evidence.

Indeed, our profession's use of evidence has moved from: case wisdom → empirical practice → evidence-based practice → evidence-informed practice. The latter emphasizes the incorporation of wider forms of systemically collected data, for example, case studies; findings from research studies; synthesized reviews of literature; best or promising practices; and data and evidence from the experiences of consumers, service users, professional practitioners, administrators, and policy makers. As such, the evidence-informed practice offered in this volume is an effort to be the first link in a knowledge-sharing chain-of-events system involving: the evidence itself to → assessment of the evidence to → the self-appraisal of how the evidence can be used to → transparency between all stakeholders in this process (i.e., clients, practitioners, administrators, etc.) to → disseminating the evidence to → utilization, or applying the evidence to inform practice decisions. Thus, each chapter in this text is judiciously anchored in this chain of evidence.

In an effort to stylistically address this chain-of-evidence idea, all contributors were asked to first construct succinct text boxes to establish the chapter's overall purpose and rationale, as well as to explain how examples of evidence were used within the chapter. They then presented an overarching question that students could think about while reading the chapter. At the end of each chapter, contributors then identified a set of key chapter terms and three to six field-tested websites that students or practitioners could access for additional readings, as well as five critical thinking questions to further probe the content of the chapter. This uniformity of style to address these important evidence-informed issues are presented consistently in the writing and reading of the chapters. We hope these elements also made the chapters more student and practitioner friendly.

This book is designed as a foundation social work practice text with individuals and families for undergraduate and graduate students in social work programs. The text provides the foundation of skills required for beginning social work practice with individuals and families. This book addresses Council on Social Work Education (CSWE) required competencies for accreditation. Specifically, the book addresses the following required accreditation competencies:

Educational Policy 2.1.2 – Apply social work ethical principles to guide professional practice.

Educational Policy 2.1.3 – Apply critical thinking to inform and communicate professional judgments.

Educational Policy 2.1.4 – Engage diversity and difference in practice.

Educational Policy 2.1.6 – Engage in research-informed practice and practice-informed research.

Educational Policy 2.1.7 – Apply knowledge of human behavior and the social environment.

Educational Policy 2.1.9 – Respond to contexts that shape practice.

Educational Policy 2.1.10 – Engage, assess, and intervene with individuals and families.

As our profession develops and uses evidence more routinely and effectively, as such, it will not only fare well in this competitive era of legitimacy, but it will be better prepared to more effectively and ethically serve the unique needs of our diverse and marginalized clients.

—MJH, CND, KMS

Acknowledgments

A text of this nature could not have come to fruition without the support of many. This collective group is the real story behind the book, and they need recognition. First, I would like to acknowledge both of my co-editors for pushing this well-conceptualized and well-crafted book forward for publication in our field. Catherine N. Dulmus, one co-editor, spent much appreciated time shepherding, marshalling, and empowering my ability to write, edit, tweak, and freshen-up this well-written set of chapters; I thank you for this, Catherine. In regard to the chapter contributors, thank you for sharing your poignant ideas on evidence-informed assessments and intervention from your practice wisdom and research. Your professionalism and commitment to promoting this leading edge topic in order to advance our practice reality was much appreciated.

At John Wiley, a special acknowledgment goes to Rachel Livsey, Senior Editor for Social Work and Counseling and particularly Amanda Orenstein, Editorial Assistant for supporting this work from A to Z, through numerous phone calls, e-mails, long telephone messages, and edited PDF files. At the University of Georgia, I would like to acknowledge and thank Dr. Israel Berger who endowed my chair in family and child welfare in the School of Social Work. This allowed me to obtain the much needed resources and additional time to dedicate to this project. Finally, I would like to thank Catherine A. Patterson, Tisha Abolt Graduate Assistant, MSW, who not only spent countless hours on this manuscript as a research and editorial assistant, but who also found the time to co-author a chapter in the text itself. I very much appreciated your professionalism, diligence, sense of humor, and student voice in reviewing and working on countless renditions of this manuscript during this past year.

In sum, I sincerely appreciate all your help with this endeavor and I enjoyed working with all of you on this journey very much.

—MJH

About the author

Michael J. Holosko, PhD, MSW, is the Pauline M. Berger Professor of Family and Child Welfare at the University of Georgia, School of Social Work. He has taught across the undergraduate and graduate curriculum in schools of: social work (primarily), nursing, public administration, and applied social science in Canada, the United States, Hong Kong, Sweden, Australia, and the U.S. Virgin Islands. He has published extensively in the areas of evaluation, health care, gerontology, social policy, research, music intervention, and spirituality. For the past 33 years, he has been a consultant to a variety of large and small health and human service organizations in the areas of: program evaluation, outcomes, accreditation, organizational development, communication, leadership, visioning, organizational alignment, and stress management. He serves on the editorial boards of: Research on Social Work Practice; Journal of Health and Social Policy; Journal of Human Behavior and Social Environment; the Hong Kong Journal of Social Work; Journal of Social Service Research; and the Journal of Evidence-Based Social Work Practice.

Catherine N. Dulmus, PhD, LCSW, is Professor, Associate Dean for Research, and Director of the Buffalo Center for Social Research at the University at Buffalo and Research Director at Hillside Family of Agencies in Rochester, New York. She received her baccalaureate degree in Social Work from Buffalo State College in 1989, the master's degree in Social Work from the University at Buffalo in 1991, and a doctoral degree in Social Welfare from the University at Buffalo in 1999. As a researcher with interests that include community-based research, child and adolescent mental health, evidence-based practice, and university-community partnerships, Dr. Dulmus' recent contributions have focused on fostering interdependent collaborations among practitioners, researchers, schools, and agencies critical in the advancement and dissemination of new and meaningful knowledge. She has authored or co-authored several journal articles and books and has presented her research nationally and internationally. Prior to obtaining the PhD, her social work practice background encompassed almost a decade of experience in the fields of mental health and school social work.

Karen M. Sowers, PhD, is Dean and Beaman Professor in the College of Social Work at University of Tennessee, Knoxville. She is the University of Tennessee Beaman Professor for Outstanding Research and Service. Dr. Sowers received her baccalaureate degree in sociology from the University of Central Florida, and her master's degree and PhD degree in social work from Florida State University. Dr. Sowers serves on several local, national, and international boards. Dr. Sowers is nationally known for her research and scholarship in the areas of international practice, juvenile justice, child welfare, cultural diversity, and culturally effective intervention strategies for social work practice, evidence-based social work practice, and social work education.

Contributors

Paula Allen-Meares, PhD
School of Social Work
University of Michigan
Ann Arbor, Michigan
Kimberly A. Brisebois, BSW, MSW
School of Social Work
Wayne State University
Detroit, Michigan
Elaine Congress, PhD, DSW, LCSW
Fordham University Graduate School of Social Service
New York, New York
Cynthia Franklin, PhD, LCSW, LMFT
School of Social Work
University of Texas–Austin
Austin, Texas
Michael J. Holosko, PhD
School of Social Work
University of Georgia
Athens, Georgia
Laura Hopson, PhD
School of Social Welfare
University at Albany
Albany, New York
Catheleen Jordan, PhD, LCSW
School of Social Work
University of Texas–Arlington
Arlington, Texas
Craig Winston LeCroy, PhD
School of Social Work
Arizona State University
Tucson, Arizona
Robyn Munford, PhD
School of Health and Social Services
Massey University
Palmerston North, New Zealand
Catherine A. Patterson, MSW
School of Social Work
University of Georgia
Athens, Georgia
Gregory J. Paveza, MSW, PhD
School of Health and Human Services
Southern Connecticut State University
New Haven, Connecticut
Tara M. Powell, MSW, MPH
Austin, Texas
Mary C. Ruffolo, PhD, LMSW
School of Social Work
University of Michigan
Ann Arbor, Michigan
Jackie Sanders, PhD
School of Health and Social Services
Massey University
Palmerston North, New Zealand
Jeffrey F. Skinner, LCSW, MDiv
School of Social Work
University of Georgia
Athens, Georgia
David W. Springer, PhD, LCSW
School of Social Work
Portland State University
Portland, Oregon
Bruce A. Thyer, PhD
College of Social Work
Florida State University
Tallahassee, Florida
Lela Rankin Williams, PhD
School of Social Work
Arizona State University
Tucson, Arizona
Michael E. Woolley, MSW, DCSW, PhD
School of Social Work
University of Maryland
Baltimore, Maryland

Chapter 1

Assessment of Children

Michael E. Woolley

Purpose: This chapter details and discusses the historical evolution and current trends in social work in the systematic, ecological, and evidenced-informed assessment of children. It includes the myriad struggles impacting children and the broad range of settings in which social workers serve children and their families.

Rationale: Whether in schools, child protective services, juvenile justice, family or community centers, mental-health agencies, or hospitals, social workers assume many roles in providing services for children. A critical part of providing effective services is a comprehensive assessment informed by social work values, ethics, interfacing with our evolving professional orientation, knowledge, skills, and tools.

How evidence-informed practice is presented: One current trend is the increasing use of quantitative survey instruments in child assessment, and there is an increasing number of such assessment tools being developed by social work researchers. A second trend is the increasingly widespread need for the evaluation of the effects of interventions. In order to offer such evaluations, valid and reliable assessment tools are needed that can show changes in the assessed struggles and targeted outcomes of those interventions.

Overarching questions: Within specific social work practice settings serving children, in order to complete an ecologically oriented and comprehensive assessment of a child and family, what information would be needed, from whom should that information be gathered, and by what means or methods should that information be collected?

Social workers are vital members of teams delivering services to children across a variety of settings, including, but not limited to, child welfare agencies, family service organizations, schools, health-care providers, and mental-health settings. The struggles and challenges faced by children served by those social workers covers a broad spectrum from day-to-day struggles to life-altering trauma. In all those settings and struggles, beginning the social work intervention process with a systematic and comprehensive effort to gather information about the child, the social contexts of the child, and the presenting struggle or challenge is a critical first step to providing professional, appropriate, and effective services to children who have been impacted by issues ranging from sexual abuse or mental illness to brain tumors or learning disabilities.

Social work has been increasingly called on, from both outside and inside the profession, to demonstrate the effectiveness of its practices. This scrutiny provides the impetus to engage in research to develop evidence-based practice (EBP) strategies and approaches (Gambrill, 1999). The needs for quality assessment tools and strategies as a fundamental task within that effort are twofold. First, all practice activities should start with and be informed by an assessment process. Second, gathering evidence as to the effectiveness of an intervention requires assessing the target of that intervention before and after that intervention is delivered; therefore, reliable and valid assessment measures are a fundamental tool in the pursuit of evidence to support practice.

This chapter first defines what is involved in performing a systematic and comprehensive social work child-assessment process. The accumulated social work practice knowledge in the area of child assessment emerging across the first 100 years of professional social work is discussed. We then outline the current prevailing framework used to gather, organize, and present assessment information about children. More recent developments in the assessment of children are then added to that framework—for example, the necessity of gathering information from multiple informants and using multiple information-gathering tools when assessing children. Within that evolving assessment framework, a growing effort in social work (and other helping professions) is to strive to utilize evidence-based strategies and tools in practice. What is meant by evidence-based practice and how that effort can inform the most effective and efficient assessment of children is explored. The limitations to the evidence in support of our current assessment strategies with children, as well as promising ways to reduce those limitations, are detailed. Finally, current trends and developments in the assessment of children in social work practice settings, including child protection, schools, and mental health, are presented.

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