RE/UN/DIScover Heuristic: Working with Clinical Practice Impingements in Dehumanizing Times
AbstractAlthough clinical social work seeks to center the transformative potential of human relationships, practitioners are experiencing heightened systemic and organizational impingements from the dehumanizing pressures of neoliberalism. Neoliberalism and racism diminish the vitality and transformative potential of human relationships, disproportionately affecting Black, Indigenous and People of Color (BIPOC) communities. Practitioners are also experiencing increased stress and burnout related to increased caseloads and decreased professional autonomy and organizational practitioner support. Holistic, culturally responsi...
Source: Clinical Social Work Journal - May 4, 2023 Category: Psychiatry & Psychology Source Type: research
The Integration of the Resolved Through Sharing Perinatal Bereavement Follow-up Model with Latinx Cultural Values: A Case Illustration
AbstractThe Resolved Through Sharing (RTS) Perinatal bereavement model is an approach used for working with birthing people and their families who have experienced a perinatal loss. RTS is designed to help families cope with their grief and integrate the loss in their lives, meet the needs of the families during the initial crisis, and offer comprehensive care to each member of the family affected by the loss. This paper utilizes a case illustration to describe a year-long bereavement follow-up of an undocumented underinsured Latina woman who suffered a stillbirth during the beginning of the COVID-19 pandemic and the hosti...
Source: Clinical Social Work Journal - May 3, 2023 Category: Psychiatry & Psychology Source Type: research
Adjunct Teaching in Social Work Education: Practical Information for Using Your MSW in Higher Education
This article aims to provide practical informa tion for social work practitioners about how to become and serve as adjunct instructors for a social work education program. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - May 3, 2023 Category: Psychiatry & Psychology Source Type: research
Barriers to School-Based Mental Health Resource Utilization Among Black Adolescent Males
This study examines barriers to school-based mental health resource (SBMHR) use among Black adolescent males, as a means of addressing reduced usage of available mental health resources and to improve these resources to better support their mental health needs. Secondary data for 165 Black adolescent males were used from a mental health needs assessment of two high schools in southeast Michigan. Logistic regression was employed to examine the predictive power of psychosocial (self-reliance, stigma, trust, and negative previous experience) and access barriers (no transportation, lack of time, lack of insurance, and parental...
Source: Clinical Social Work Journal - April 29, 2023 Category: Psychiatry & Psychology Source Type: research
Strategies to Survive: Engaging Transgender and Gender Diverse Older Adults Experiencing Suicidality and Dissociative States
AbstractAlthough nascent literature finds higher rates of suicide among older TGD adults than their cisgender peers, research about suicide and suicidality in TGD populations emphasizes the experiences of younger adults and adolescents, while the experiences of older adults remain largely unexamined. Although minority stress theory emerged as a necessary departure from psychoanalysis ’ emphasis on individual pathology and played an instrumental role in the widespread recognition of the impacts of societal oppression on the mental health of the TGD community, the minority stress model does not clearly suggest strategies t...
Source: Clinical Social Work Journal - April 28, 2023 Category: Psychiatry & Psychology Source Type: research
Cultural Barriers for South Asian American Women in Substance Abuse and Mental Health Treatment Retention
This article discusses interventions to engage and build therapeutic relationships with South Asian female clients and their unique challenges. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - April 28, 2023 Category: Psychiatry & Psychology Source Type: research
Maternal Love in the Warzone: Exploring How Mothers Socialize Black Sons to Manage Racism
AbstractThis paper explores unconscious maternal messages of endangerment for Black men living in US urban environments. Using qualitative methodology, the author intensively interviewed five Black men and their mothers to explore “the talk” from the men’s and their mother’s perspectives. Findings from the data revealed that mothers communicated endangerment messages to their sons that (1) taught them how to safely master a threatening and racist environment by using a double consciousness, (2) served as communication s between mothers and sons about intergenerational trauma and strength, and (3) finally, created p...
Source: Clinical Social Work Journal - April 25, 2023 Category: Psychiatry & Psychology Source Type: research
Metabolizing Countertransference in an Adolescent Group Treatment Internship
AbstractIn both graduate classrooms and field placements, social work student interns are increasingly taught empirically-supported, behaviorally-focused models as the primary way to engage in ethical practice. They are less prepared, however, to handle the personal impact of powerful psychodynamic processes active in therapeutic settings. In adolescent group treatment environments, the combination of novice therapists with dual-diagnosed, involuntary/mandated teens sets the stage for both behavioral and transference/countertransference issues to arise. Although supervision at the field setting is expected to ameliorate em...
Source: Clinical Social Work Journal - March 25, 2023 Category: Psychiatry & Psychology Source Type: research
Moving Beyond Either-or Debates: An Invitation to Reconcile Ideological Divides in Evidence-Based Practice
This article argues that a core barrier to the adoption of EBP is the ontological, epistemological, and methodological tensions used to justify EBP’s lack of ethical fit with the profession. Existing counterarguments for EBP have failed to address these tensions, instead responding by correct ing surface-level misconceptions about the philosophy of science itself. However, such corrections do not satisfactorily demonstrate EBP’s reliance upon not just empirical evidence, but also experiential and situated ways of knowing that skeptics believe EBP excludes. This article will meaningfull y engage with skeptics’ concern...
Source: Clinical Social Work Journal - March 10, 2023 Category: Psychiatry & Psychology Source Type: research
Supervising Contact Visits: A Trauma-Informed Approach Based on Principles of Child-Parent Psychotherapy
AbstractChildren who have been removed from their homes as a result of maltreatment and abuse and have been placed in foster care or are in the process of adoption often continue to meet their birth parents by court decision. This contact is often held under supervision. Supervised contact is intended to provide children the opportunity to maintain the parent-child relationship in a safe and neutral setting. Findings have shown that in some cases supervised contact can be harmful, undermining the children ’s sense of security and placement stability. It has been suggested that agencies have limited practice skills to hel...
Source: Clinical Social Work Journal - February 21, 2023 Category: Psychiatry & Psychology Source Type: research
The Perceived Job Performance of Child Welfare Workers During the COVID-19 Pandemic
Conclusions included the importance of autonomy and supervision in mitigating job-related stressors and the need to ad apt and enhance child welfare supervision during times of national crisis. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - January 20, 2023 Category: Psychiatry & Psychology Source Type: research
Exploring Shared Trauma in the Time of COVID: A Simulation-Based Survey Study of Mental Health Clinicians
We examined the experiences mong mental health clinicia ns in Canada and the United States (n = 196) in this online survey study during the second phase of the pandemic (Spring 2021). In addition to using traditional survey items (e.g., demographics, scales, and short answers), we also used video-recorded Simulated Clients (SC; i.e., professional actors) as a novel method to elicit the participants’ assessment of the SCs and the psychosocial impacts of the COVID-19 pandemic. Using shared trauma as a theoretical framework, we analyzed both quantitative and qualitative data. Quantitative results suggested that a...
Source: Clinical Social Work Journal - December 15, 2022 Category: Psychiatry & Psychology Source Type: research
Making Meaning of Homicide Through Intentionality and Action: The Findings of a Grounded Theory Study
AbstractHomicide survivors struggle, often long-term, with a crisis of meaning that can complicate grief and undermine healing. This manuscript provides a magnification of Stage 3 of the Theory of Post-Homicide Spiritual Change (Theory of PHSC), a three-stage grounded theory of healing after homicide among 30 homicide survivors, developed by Johnson and Zitzmann (A grounded theory of the process of spiritual change among homicide survivors. OMEGA-Journal of Death and Dying, 81(1), 37 –65.https://doi.org/10.1177/0030222818755285). Stage 1 of the Theory of PHSC occurs in the early aftermath of a murder and is characterized...
Source: Clinical Social Work Journal - December 8, 2022 Category: Psychiatry & Psychology Source Type: research
Acknowledging Soul Loss from an Indigenous Perspective to Promote Healing in Prison
AbstractPeople incarcerated in the United States suffer disproportionately higher rates of substance use and mental health diagnoses than the general population. Treatment as usual is not sufficient, as evidenced by extremely high recidivism rates. Established links between trauma, depression and criminal behavior make it apparent that incarcerated people have many vulnerabilities underlying their maladaptive behaviors. The author ’s use of self and an Indigenous perspective illustrate the concept of soul loss, which is when a part of one’s vital essence fragments to escape the full impact of anguish from a traumatic e...
Source: Clinical Social Work Journal - December 1, 2022 Category: Psychiatry & Psychology Source Type: research
When the Client is a Struggling Clinical Social Worker: Ethical Challenges
This article identifies challenging ethical issues and dilemmas that can arise when clinical social workers treat clinical social workers; reviews pertinent ethical standards; and discusses practical risk management protocols designed to protect clients, treatment providers, and employers. The author focuses especially on ethical issues related to consent-to-treatment agreements; release of information; confidentiality and its exceptions; management of social worker impairment; practitioner self-care; documentation; and boundary issues. (Source: Clinical Social Work Journal)
Source: Clinical Social Work Journal - November 26, 2022 Category: Psychiatry & Psychology Source Type: research
