Much of the trauma experienced by individuals, families, and communities, especially in historically marginalized areas, has been created by a series of social phenomena such as structural oppression, racism, and discrimination. Public-serving systems are uniquely positioned to counter the perpetuation of retraumatization that disproportionately impacts oppressed groups. Therefore, trauma-informed care (TIC) and trauma-responsive care (TRC) must evolve through the conscious application of an antiracist and antioppressive approach, thereby preventing the further harming of already marginalized groups. Macro accountability is established by analyzing power systems through a culturally responsive lens rather than blaming and pathologizing individuals impacted by historical and persistent racialized trauma. Applied to TIC and TRC, the SHARP framework renders more effective social work services at the personal and individual, professional and organizational, and political and societal levels more just and humane. A compare and contrast analysis of adverse childhood experience studies, summarizing TIC and TRC, and a case study of the application of the SHARP framework to human services work may shed light on guiding public-serving systems and promoting opportunities for posttraumatic growth and transformative change necessary for dismantling policies, protocols, and practices that increase vulnerability and long-term adverse outcomes in socially disadvantaged communities.
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Critiques of Trauma-Informed Systems
Wendy Shaia, Temeka S. Bailey, Christopher Beegle, and Maura Tennor
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Home Visits and Family Engagement
Barbara Wasik and Donna Bryant
The importance of engaging families in home visiting was recognized more than a century ago as M. E. Richmond provided guidelines for involving families in the visiting process. She stressed individualizing services and helping families develop skills that would serve them after the home visiting services ended. During the 20th century, early organized efforts in home visiting in the United States built on methods used in other countries, especially European countries. Although interest fluctuated in the United States during the past century, since 2010 interest has increased due primarily to the passage of the Patient Protection and Affordable Care Act that provided for home visiting services to respond to the needs of children and families in order to improve health and development outcomes for vulnerable children and their families.
Engaging families is essential for a productive home visiting experience requiring thoughtful program activities as well as knowledge and skills on the part of the visitor. Program responsibilities begin with the need to make good employment decisions regarding home visitors and then to provide effective training, supervision, and ongoing professional development. Providing professional training in helping skills such as observation, listening, and ways of asking questions to gain or clarify information is essential to ensure visitors can engage families. Using principles for effective home visiting—including establishing a collaborative relationship with the family; individualizing services; being responsive to family culture, language, and values; and prompting problem-solving skills—can enhance the ability of the visitor to engage the family. Programs can provide opportunities for visitors to enhance their skills in developing relationships with and engaging families. Engaging families is a reciprocal process. Some families will have a positive orientation toward working with visitors to accomplish their own goals and objectives; others may be less willing to engage. Although the program and visitors have the main responsibility for engagement, they will face challenges with some families and may need to seek creative solutions to actively engage.
Just as home visitors need to engage parents in order to facilitate new knowledge and skills, parents need to engage their children to foster development. Recent research identified a set of parent–child interactions that visitors can incorporate to foster parent engagement with young children. These challenges are shared across home visit programs, as well as across cultures and countries, regardless of the professional training of the visitors or the goals and procedures of the programs.
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Posttraumatic Growth
Selena T. Rodgers
Trauma literature has seen a paradigm shift from pathology to embracing positive trajectories. Posttraumatic growth (PTG), defined as a positive psychological change resulting from a struggle with traumatic or life-changing events, may occur in a variety of populations and events. This entry, therefore, aims to increase our understanding of PTG. The entry begins with the conceptualization of PTG, followed by a discussion of protective factor associations, measures, and psychometric priorities. Nuanced attention is given to global translations and cultural aspects. The entry then presents debates about the challenges, controversy, and biases, as well as an overview of the empirical literature. The entry concludes with PTG contributions for social-work practice and pedagogy, together with recommendations for future research.
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Social Work in Moldova
Vadim Moldovan, Eugeniu Rotari, Vadim Tarna, and Alina Zagorodniuc
The Republic of Moldova is a small post-Soviet country that has been “transitioning” from a socialist to capitalist economy since the 1990s. Once a prosperous region of the Soviet Union, it is now among the poorest countries in Europe, facing many social problems that call for a strong social work profession. However, social work is new to the country and the profession is challenged by low societal status, meager resources, and lack of cohesion. Social work in Moldova is struggling to meet these challenges with the help from the West and the emergence of an indigenous model of professionalization. Child welfare, elder care, mental health, as well as the history of social work in Moldova, current state of social work education with its obstacles to and opportunities for progress will be discussed.
