Kia J. Bentley and Christopher P. Kogut
To advance the discussion of the interface between psychopharmacology and contemporary social work practice, we present a brief primer on the different types of medications used in psychiatry and our current understanding of how they work. We also discuss how decisions are made about psychiatric medications in the real world to treat some of the more common mental illnesses. Along the way, we will also present some of the recent research in psychopharmacology of particular interest to social workers and the clients they serve, as well as some of the future directions we can expect in the years to come. From that foundation, we review major activities of social workers in psychiatric medication, address some of the key controversies centering on issues of access, the role of drug companies, and especially medication for children. We conclude with brief reflections on what is “best practice” and notions of the future of interdisciplinary practice in health, mental health, and beyond.
Enola Proctor and J. Curtis McMillen
Assessing and improving the quality of social services is one of the most pressing concerns for social work practice and research. Practice in nearly every setting is affected by stakeholder expectations that agencies monitor and improve quality. This entry addresses the meaning of the phrase “quality of care” with respect to social work services, considers this topic in relation to quality improvement, quality assurance, and evaluation of services, and points to the research that is needed in order to assess and improve quality.
This article describes issues related to culturally competent social work practice with religiously fundamentalist families in public school settings. It addresses the history of religious fundamentalist identities, the complexity inherent in such identities, and the nature of fundamentalism. A review of issues related to culturally competent practice in educational settings is offered. Recommendations informed by spiritually sensitive and strength-based approaches are discussed. Challenges to working effectively with religiously conservative and fundamentalist families in educational settings are also explored. Emphasis is placed upon the practitioner’s role in developing spirituality-sensitive therapeutic relationships by improving religious literacy, developing enhanced self-awareness, and approaching clients from a perspective of cultural humility and a lens of intersectionality.
Concepcion Barrio, Mercedes Hernandez, Paula Helu Fernandez, and Judith A. DeBonis
Social workers in health and mental health and across public and private health sectors are expected to be knowledgeable of comprehensive approaches to effectively serve individuals dealing with psychotic disorders, including family members involved in their care. Effective services require expertise in assessment, diagnostics, treatment planning, and coordination of community support services. This article provides a knowledge base for social work practitioners working with clients challenged by the experience and consequences of serious mental illness, such as schizophrenia spectrum and other psychotic disorders. We begin by reviewing the public health significance of these disorders, clinical phenomenology and its historical context, and symptoms and classification. We then discuss the family and cultural context, evidence-based treatments, and several social and clinical issues that social work practitioners should be aware of when working with this client population.
Tomi Gomory and Daniel Dunleavy
Social work is perhaps most distinctive for its clear and outspoken commitment toward improving the well-being of society’s vulnerable and disadvantaged groups, while still emphasizing the importance of respecting and defending personal rights and freedoms. Though there is a fundamental necessity for coercion, or its threat, for eliciting civil social behavior in a well-functioning society, it is professionally and ethically imperative that social workers make explicit our rationales for, justifications of, and the evidence used to support or reject coercive practices in our work. Social work’s engagement with coercion inevitably entails the ethical and social policy arguments for and against its use, as shown in a review of the empirical evidence regarding its impact on the professions’ clients, exemplified by three domains: (1) child welfare, (2) mental health, and (3) addictions. Recommendations for future improvements involve balancing the potential for harm against the benefits of coercive actions.
Paula S. Nurius and Charles P. Hoy-Ellis
Evolving understandings of stress have literally transformed how we think about health as contextualized within complex and multilevel transactions between individuals and their environment. We present core concepts of stress through the lens of life-course and life-span perspectives, emphasizing appraisal-based and biobehavioral models of stress response systems. We describe theories of allostatic load, embodiment, epigenetics, weathering processes, and accelerated aging that operationalize mechanisms through which stress affects health and contributes to health disparities. In addition to social determinant and life-span developmental perspectives on stress and health, we emphasize the value of health-promotive factors that can serve to buffer stress effects. Social work has important roles in targeting health-erosive stress from “neurons to neighborhoods”.
Every year, more people in the world die from suicide than from homicide and wars combined. Efforts to reduce suicide have made several advances. Research has identified numerous suicide risk factors, and, though small in number, effective prevention and intervention strategies have been identified. Social workers are likely to encounter suicidal clients in their work, requiring suicide assessment and intervention skills.
The term survivor has been applied to people who have endured diverse traumatic or life-threatening experiences ranging from sexual abuse to airplane crashes and wars. In the past 25 years, the term has also been applied to those diagnosed with cancer, an illness that once claimed the lives of most who were diagnosed with it, but which many now survive because of treatment advances. This entry addresses the social-work profession’s involvement with cancer survivorship as one example of survivorship. Social workers encounter cancer survivors in every practice arena, including hospitals and palliative-care programs as well as schools, correctional facilities, and mental-health clinics. They conduct research and provide education about the psychosocial impact of cancer and also provide counseling and advocacy. With their focus on strengths and resilience and their range of skills and knowledge about the biopsychosocial impact of life-threatening and traumatic experiences, social workers are uniquely positioned to assist survivors in adjustment to survivorship and in restoring well-being through micro, mezzo, and macro systems interventions.
Julie Cerel and Myfanwy Maple
Suicide is a more prevalent cause of death in many countries than automobile accidents, homicide, and breast cancer. Despite this, the experience of people left behind after a suicide is not well understood. This entry provides a sociohistorical overview of suicide to place suicide death in a relevant cultural context, explores the bereavement experiences of those grieving a loss to suicide, and presents the debate about similarities and differences regarding suicide bereavement in relation to other forms of traumatic death. In addition, this entry examines the role of social workers in working with people bereaved by suicide.
The ability of medical technology to prolong life over the past century has forced an examination of the experience and care of the dying. Many diseases that once were expected to follow a sloping illness trajectory with predictable deterioration and ultimately death are now more commonly experienced as chronic illnesses. They require more medical and other resources and challenge the family's ability to cope for much longer periods. The knowledge, value, and skill base of social work, and its broad range of practice sites make it uniquely suited to contribute to the movement to improve the care of the dying. The Social Work Hospice and Palliative Care Network were formed in 2007 to advance and give voice to social work's expertise in this area and to promote its development in practice, education, research, and policy.
Gilbert J. Greene
Research and meta-analysis of research on psychotherapy outcome has consistently supported the use of therapy that is planned from the beginning to be brief. In recent years several brief therapy approaches have been developed, often by social workers, and found to be effective. This article provides an overview of the research supporting the use of brief therapy and describes the basics of the major approaches to brief therapy such as the task-centered approach, the psychodynamic approaches, interpersonal therapy, cognitive-behavioral therapy, emotion-focused therapy, the strength-based approaches, couples and family therapy, and group therapy. It closes with the discussion of several future trends in brief therapy.
Gordon MacNeil and B. Michelle Brazeal
This article presents information regarding the evolving understanding of the relationships between impulse-control disorders, compulsion-related disorders, and addictions (both substance-related and behavioral). The traditional model describing the relationship between impulse-control disorders and compulsion-related disorders is now considered overly simplistic. New research suggests that this relationship is complex, and distinctions between these disorders are not as solid as previously thought. Information about this dynamic relationship also has implications for substance use disorders and behavioral addictions.
Nancy J. Smyth
This entry summarizes the current state of knowledge about the nature of trauma and intervention with trauma reactions. It includes the history of traumatology, demographics, theory, research and best practices, controversies, and current trends as well as diversity issues and international and interdisciplinary perspectives.
Susan A. Green and Doyle K. Pruitt
Trauma-focused cognitive–behavioral therapy (TF-CBT) is a manualized treatment for children 3–17 years old who have posttraumatic stress symptomology as a result of experiencing a traumatic event or series of events. This evidence-based practice allows for practitioner expertise in adapting the order and time spent on each of the treatment components to best meet the individual needs of the child and his or her caretaker. This article provides an overview of the treatment components of TF-CBT, its application across various settings, use with diverse populations, and effectiveness.
Charles Wilson, Donna M. Pence, and Lisa Conradi
The concepts of trauma and trauma-informed care have evolved greatly over the past 30 years. Following the Vietnam War, professional understanding of post-traumatic stress disorder (PTSD) increased. The greater understanding of trauma and its effects on war veterans has extended to informing our comprehension of trauma in the civilian world and with children and families who have experienced abuse, neglect, and other traumatic events. This elevated insight has led to the development of evidence-based models of trauma treatment along with changes in organizational policies and practices designed to facilitate resilience and recovery. This paper highlights the concept of trauma-informed care by providing an overview of trauma and its effects, then providing a comprehensive description of our understanding of trauma-informed care across child- and family-serving systems.
Ruth Gottfried and Brian E. Bride
Over the past three decades, along with the development of the field of traumatology, it has become increasingly clear that the after-effects of trauma exposure extend beyond those experienced by survivors or perpetrators, to include their caregivers. The nomenclature in the field of indirect trauma includes three central terms to describe this experience: vicarious traumatization (VT), secondary traumatic stress (STS), and compassion fatigue (CF). The current encyclopedia entry comprises a comprehensive description of these constructs, with emphasis on the discipline of social work. As VT is based on the theory of constructivist self-development, this theory is addressed as well. Likewise reviewed are relevant theoretical frameworks for both STS and CF, diverse conceptualizations of CF, prevalence rates, risk factors, and microlevel, mezzolevel, and macrolevel recommendations for addressing secondary, vicarious, and CF trauma.
Social work with members of the U. S. military began during World War I and continues to evolve along with the military, its service members, and their families. This article provides an overview of the U. S. military as an organization that produces a unique culture; demographics that describe service members, military spouses, and military children; and some key indicators of the impact of military life derived from scientifically structured surveys and studies of service members and their families. It also identifies relevant professional practice and education standards for social workers who work with military families regularly and/or on a full-time basis as well as for those who are working with them for the first time and/or only on occasion. Woven together, the understanding of military families and adherence to established standards of practice discussed in this paper can provide the reader with a solid foundation for their practice when working with military families.
Sheara A. Williams
Violence is a serious social issue that affects millions of individuals, families, and communities every year. It transcends across racial, age, gender, and socioeconomic groups, and is considered a significant public health burden in the United States. The purpose of this entry is to provide an overview of violence as a broad yet complicated concept. Definitional issues are discussed. Additional prevalence rates of select types of violence are presented in addition to risk and protective factors associated with violent behavior. The entry concludes with a summary of approaches to address violence in the context of prevention and intervention strategies.
Vimla Nadkarni and Roopashri Sinha
The entry outlines a historical and global overview of women’s health in the context of human rights and public health activism. It unravels social myths, traditional norms, and stereotypes impacting women’s health because social workers must understand the diverse factors affecting women’s health in a continually changing and globalized world. There is need for more inclusive feminist and human rights models to study and advocate women’s health. There is as much scope for working with women in a more holistic manner as there is for researching challenging issues and environments shaping women’s health.