Hidden Populations for Healthcare Financial Protection in the Super-Aging Society: Closing the Gap Between Policy and Practice
AbstractDespite the remarkable health achievements of Japan ’s universal health coverage since 1961, along with numerous social programs to ensure financial protection, a growing proportion of the older population reportedly experiences financial hardship for essential health care. The socio-behavioral and economic situation of the households in need and t he effective policy interventions remain unknown. To identify the reasons behind older persons’ financial hardship and the effective policy interventions, we performed a questionnaire survey of social workers in all hospitals, local government offices and social serv...
Source: Clinical Social Work Journal - January 16, 2024 Category: Psychiatry & Psychology Source Type: research

Kinship Navigator: An Assessment of Service Utilization, Satisfaction and Caregiver Wellbeing in Washington State
This study assessed the effectiveness of Washington State ’s kinship navigator to (1) increase service utilization, (2) promote caregiver satisfaction and (3) increase caregiver wellbeing. Using propensity-score matching, kinship caregivers who received enhanced case management kinship navigator services were matched to a comparison group of kinship care givers who received services as usual (information and referral only) in their communities. The matched sample showed strong baseline equivalence on caregiver age, race/ethnicity, and socioeconomic status. Caregivers who received enhanced case management services experie...
Source: Clinical Social Work Journal - January 13, 2024 Category: Psychiatry & Psychology Source Type: research

Racism is Life-Threatening and Continues the Cycle of Racial Trauma: What Can Clinicians do to Interrupt This Cycle?
AbstractThe COVID-19 pandemic drew attention to health disparities and racism in healthcare. The first step in addressing racial disparities in healthcare is acknowledgement that there is a problem. Palliative care teams have an obligation to recognize how racism shows up in healthcare and in turn how it affects racially marginalized patients. Clinicians must engage in self-reflection by assessing their own conscious and unconscious biases that impact the clinician/patient dyad, by understanding their social location, and by using assessments and interventions that are grounded in cultural humility and awareness of racial ...
Source: Clinical Social Work Journal - January 12, 2024 Category: Psychiatry & Psychology Source Type: research

Bidirectional Parallel Process in Training Supervision: Interactions of the Conscious and Unconscious within the Supervision Triad
AbstractThere is growing recognition that parallel processes are central components of supervision and may be a supervisor ’s primary source of data about a client’s and a therapist’s unconscious processes and the ongoing therapeutic relationship between them. The term “parallel processes” refers to the process through which unconscious conflict emerges within one dyad (supervisor–supervisee or supervisee– client) and then becomes reflected or re-enacted in another dyad of the triangle. This paper reviews the literature on parallel processes in social work, according to relational theory. Illustrated here are...
Source: Clinical Social Work Journal - January 5, 2024 Category: Psychiatry & Psychology Source Type: research

“Because I’m Young”: Experiences of Young Mothers with Child Welfare Involvement
This study will begin to address this knowledge gap. Twenty-one young mothers who experienced child welfare involvement in Ontario while pregnant or parenting participated in semi-structured interviews. Interpretative phenomenological analysis was used to explore how young mothers understood their involvement with child welfare. The findings revealed that mothers believed the primary reason for their heightened surveillance in the community was their youth. Their age was associated with the circumstances that triggered an investigation, including their living and caregiving situations, their previous history of child welfa...
Source: Clinical Social Work Journal - December 26, 2023 Category: Psychiatry & Psychology Source Type: research

Correction: Newer Directions for Parallel Process in Social Work Supervision
(Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - December 26, 2023 Category: Psychiatry & Psychology Source Type: research

A Critical Review of the Conceptualization of Empathy: Toward a Deeper Understanding for Clinical Social Work Practice
This article focuses on the definition and application of empathy in psychotherapy to strengthen clinical social work ’s understanding of the concept and improve consistency in how it is applied in clinical practice, psychotherapy, and research. We conducted a critical review of the conceptual and empirical literature to understand the meaning of empathy and its relation to other components of the helping relatio nship. Based on this review, we identified that there was lack of consensus regarding how empathy is defined and how it has been operationalized in research. This review also indicated the need to delineate empa...
Source: Clinical Social Work Journal - December 13, 2023 Category: Psychiatry & Psychology Source Type: research

Why Not Consider a Research Career? From Direct Practice to Doctorate
This article serves as a practical guide, offering clear direction toward research career paths. Recommendations are provided for MSW students, en couraging them to engage in research and learning opportunities that enhance their education. For MSW graduates, the focus shifts to building networks, active program participation, and considering PhD programs that build on clinical foundations. By delineating a roadmap for both MSW students and gr aduates, this article may open the door for more clinically-focused MSWs to consider a research career path. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - December 10, 2023 Category: Psychiatry & Psychology Source Type: research

The Art and Science of Social Work Regulations: How Values and Data Should Guide Regulatory Practices
AbstractSocial work regulatory rules and practices should balance the social values of promoting consumer safety and workforce equity. As the two values often compete, the balancing act should be guided by empirical evidence about the effects of regulations on consumers and the workforce. Unfortunately, however, empirical studies investigating the relationships between various regulatory rules and practices and consumer safety and workforce equity are rare in the existing literature. This paper identifies critical gaps in the current knowledge base and proposes a series of future research agendas that call for empirical ev...
Source: Clinical Social Work Journal - December 4, 2023 Category: Psychiatry & Psychology Source Type: research

Adverse Childhood Experiences and Muscle Dysmorphia Symptomatology: Findings from a Sample of Canadian Adolescents and Young Adults
AbstractAdverse childhood experiences (ACEs) are relatively common among the general population and have been shown to be associated with eating disorders and body dysmorphic disorder. It remains relatively unknown whether ACEs are associated with muscle dysmorphia. The aim of this study was to investigate the association between ACEs and muscle dysmorphia symptomatology among a sample of Canadian adolescents and young adults. A community sample of 912 adolescents and young adults ages 16 –30 years across Canada participated in this study. Participants completed a 15-item measure of ACEs (categorized to 0, 1, 2, 3, 4, an...
Source: Clinical Social Work Journal - December 1, 2023 Category: Psychiatry & Psychology Source Type: research

Clinical Social Work with Families Affected by Brain Injuries: A Case Example
AbstractClinical care following a severe brain injury often requires a host of physical and psychological rehabilitation interventions. However, a brain injury affects the entire family. Therefore, a family-level approach to neurorehabilitation services should be favoured over an individual one. Social workers are often well positioned to assess and address family-level processes. By exploring key family-level theories, models, and approaches to brain injury intervention, this article provides clinical social workers with practical guidance. Illustrated through a descriptive case example, it serves as a user-friendly resou...
Source: Clinical Social Work Journal - November 27, 2023 Category: Psychiatry & Psychology Source Type: research

The Integration of Somatic-Based Strategies into Couples Therapy
AbstractCouples therapy is challenging in many ways because there are two people who are in distress, each wanting more from their partner, to be understood, and to be responded to emotionally. A common denominator in a variety of approaches to treating couples is verbal communication. This relies on what is available cognitively to the couple. However, sources of tension and disconnection are often outside of their awareness, limiting the effectiveness of the treatment. Somatic-based approaches have strategies that both enable clients to access emotional experience that is held in their implicit memory and is outside of a...
Source: Clinical Social Work Journal - November 22, 2023 Category: Psychiatry & Psychology Source Type: research

Newer Directions for Parallel Process in Social Work Supervision
This article explores the concept of parallel process, the flow of unconscious client material from supervisee to supervisor and the reverse of this flow, which may lead to impasses within the supervisory triad. It also discusses the concept of modeling, or observational learning, which deviates from key constructs of parallel process, yet at times has been conflated with parallel process in social work scholarship, pedagogy, and practice. In highlighting the differences between the two concepts, we seek to show the scope of their respective explanatory power and to heighten awareness and help supervisors make conscious ch...
Source: Clinical Social Work Journal - November 15, 2023 Category: Psychiatry & Psychology Source Type: research

Storiez with Urban Youth: The Evolution of a Trauma Narrative Intervention
AbstractIn an effort to provide engaging, strengths-based support to underserved BIPOC youth, I developed the Storiez trauma narrative intervention. Storiez is a nine-step process to support youth in reflecting on their experiences, creatively processing their narratives, integrating memories, and developing a future vision. Storiez is grounded in social work principles and rooted in trauma theory, narrative therapy, and the creative arts. Storiez demonstrates an amalgamation of lessons learned during my clinical encounters with urban youth, exploration of the trauma literature, participation in trauma trainings, and my ow...
Source: Clinical Social Work Journal - November 4, 2023 Category: Psychiatry & Psychology Source Type: research

Addressing Gaps in Culturally Responsive Mental Health Interventions in the Title IV-E Prevention Services Clearinghouse
AbstractMental health challenges have been recognized as one of the most prevalent issues impacting children and families within the United States. Children and families of color are disproportionately affected by this due to lack of access to preventative and ongoing supports, and programs that can help address their overall well-being. These issues are even more severe for those that are at risk or interact with the child welfare system. Social workers use various clinical modalities to assess and support them. In the recent years, child welfare agencies have turned to Evidence based programs (EBPs) as a best practice to...
Source: Clinical Social Work Journal - November 1, 2023 Category: Psychiatry & Psychology Source Type: research