As a relatively new arena of practice, social work in pediatric palliative care (PPC) is evolving and being shaped by social work practitioners, as well as physician leaders, clinicians from other disciplines, and institutions. PPC practice requires a wide array of social work skills, knowledge, and insights to accomplish the many tasks and address the many issues that can arise when caring for children with life-threatening conditions. Family-centered, team-based care is the standard approach. Knowledge of childhood diseases, family systems, health care delivery, mental health assessment and interventions, child development, and bereavement care is required for best practice. The provision of effective care over time, across sites, and in the context of team-based specialty care requires skilled social work intervention.
Stacy S. Remke
M. Jenise Comer and Joyce A. Bell
The Association of Social Work Boards (ASWB) is a not-for-profit 501(c)3 organization dedicated to the regulation of social work practice. The Association was created to protect clients and client systems from harm caused by incompetent, unethical, or unlicensed social work practice. The primary and most important responsibility of ASWB is to develop and maintain a national exam that is valid, reliable, and legally defensible. The Association contracts with a test vendor to administer the exam in an identical, secure environment to social work candidates for licensure in the United States, Canada, the U.S. Virgin Island, Guam, the Northern Mariana Islands, and the District of Columbia. Accomplishing the task of providing a reliable and valid exam involves a complex process of recruiting and training. The volunteers and staff are competent to complete the arduous task of constructing and reviewing different forms of the exam for each level of licensure. The test vendor and a consulting psychometrician provide supervision and analysis of test data to confirm the test performs at or above industry standards for a high stakes exam, which determines entry to practice based on a passing score. ASWB staff members also engage in several activities that support state and provincial boards to advance regulation and safe practice. The purpose, mission, and history of ASWB will be presented in detail, along with focused attention on the exam and additional services provided to the regulatory community. Future issues will identify the Board of Director’s 2019 Strategic plan. Opportunities, challenges, and threats to professional regulation include attention to international social work practice regulation, license mobility, and deregulation.
Amber Sutton, Haley Beech, and Debra Nelson-Gardell
Intimate partner violence (IPV) affects millions of individuals yearly, both domestically and globally. Direct linkages exist between experiencing IPV and adverse health outcomes. No matter the type of service arena, social workers encounter IPV; for that reason, all social workers need to be familiar with IPV, its consequences, and potential interventions. One form of IPV that is often undetected and underreported is reproductive coercion (RC). Reproductive coercion, a relatively new term, focuses on birth control sabotage and pregnancy coercion. Reproductive coercion is directly associated with IPV in that power and control are maintained by stripping away autonomy and decision-making ability concerning one’s reproductive and sexual health. Although many victims of IPV will experience this type of sexual abuse, RC is a less discussed form of violence and is often difficult to detect through traditional screening processes, further delaying effective intervention. Reproductive coercion affects the overall emotional, physical, and psychological health of survivors, therefore social workers need to be able to identify specific RC behaviors and know how to appropriately intervene and advocate. A thorough review of the existing literature on the link between IPV and RC has been organized into practical application methods that social workers can use to inform micro, mezzo, and macro levels of practice. All practice methods are designed to aid in reducing harm caused by RC and to help increase survivors’ control over their own bodies and reproductive health. Such applications will include screening for potential abuse, recognizing risk and protective factors, introducing culturally sensitive interventions, and policy implications and recommendations.
Clare S. Gaskins, Melissa A. Bitalvo, and Michele R. Cohen
There is growing evidence that obsessive-compulsive disorder (OCD) is much more common in children and adolescents than originally believed. While some youth with mild to moderate OCD may be able to navigate their school day with minimal interference, for others the disorder can cause significant impairment in the ability to concentrate on school work, complete homework, and make and maintain peer relationships. School social workers and staff can play a pivotal role in shaping learning environments that support students with OCD. This article provides an overview of clinical characteristics of OCD, its assessment and treatment, how children with the disorder may present in the school setting, and ways in which school staff can assist students with OCD.
Sandy Magaña and Lauren Bishop
Autism spectrum disorder is a heritable, developmental disability that is characterized by challenges with social communication and the presence of restrictive and/or repetitive patterns of behavior. Autism spectrum disorder affects development and quality of life from very early development through old age. Social workers play a number of different roles in supporting and advocating for individuals on the autism spectrum and their families. It is important that social workers understand the etiology, diagnosis and treatment of autism spectrum disorder, how it manifests throughout the lifespan, and challenges faced by families affected by ASD.
Steven L. McMurtry, Susan J. Rose, and Lisa K. Berger
Accurate measurement is essential for effective social work practice, but doing it well can be difficult. One solution is to use rapid assessment instruments (RAIs), which are brief scales that typically require less than 15 minutes to complete. Some are administered by practitioners, but most are self-administered on paper or electronically. RAIs are available for screening, initial assessment, monitoring of service progress, and outcome evaluation. Some require author permission, others are sold commercially, and many more are free and in the public domain. Selection of an RAI should be based first on its psychometric strength, including content, concurrent, and known-groups validity, as well as on types of reliability such as internal consistency, but practical criteria such as readability are also important. And when used in practice settings, RAIs should be part of a well-rounded measurement plan that also includes behavioral observations, client logs, unobtrusive measures, and other approaches.
Maria Rodriguez and Jama Shelton
Social media are defined as applications and websites that allow users to share content, usually of their own making. Social media users include individuals and organizations across a broad range of social strata. Key social work organizations, such as the National Association of Social Workers and the Association of Social Work Boards, have begun noting the proliferation of social media usage in education and practice and have begun developing guidelines to govern their use. The American Academy of Social Work and Social Welfare, in their Grand Challenges of Social Work initiative, highlighted social media as an important area of growth for research and education. Despite the field’s nascent enthusiasm, practical and ethical concerns persist. This article defines social media; discusses its usage in social work practice, research, and education; and discusses the ethical and practical considerations in each domain.
Colita Nichols Fairfax
Afrocentric social work is a concept and praxis approach applicable in environmental and global settings where people of African descent are located. Using concept analysis as a methodology, this article explores Afrocentric social work theory and its applicability in the social sciences. Concept analysis is an examination of a thought or theory with the intent to create a more concise operational definition. Afrocentric social work not only is applicable to racial and social justice issues, it also is applicable to intellectual and philosophical discourses of social work, which has largely ignored Afrocentric social work as a viable theory and philosophical canon. The Walker and Avant method of concept analysis is employed in this article to provide a systemic discourse to define the attributes of Afrocentric social work, as well as its structural elements that scholars and practitioners utilize as a theory and praxis application.
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.
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.