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The health social work competency rating scale: development of a tool for education and practice
- Authors:
- CRAIG Shelley L., et al
- Journal article citation:
- Social Work Education (The International Journal), 40(7), 2021, pp.928-941.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Integrating contextual competency frameworks into health social work education and practice can bolster student training and staff supervision strategies. This article describes the iterative development of a Health Social Work Competency Rating Scale (HSWCRS), generated using a competency framework tested through simulation and an iterative research process with healthcare social workers. A modified Delphi method consisting of an e-mail questionnaire, two discussion meetings, and two rounds of classroom-based testing were employed to develop and refine the scale with the participation of clinicians, students, and researchers. The HSWCRS is designed to convey the core competencies required for single-session social work consultations in a healthcare setting by assessing formal elements (such as introduction, validation, cultural inclusiveness, client centredness), use of self (such as self-awareness, positionality), and an overall assessment of knowledge and skills. This scale adds to the competency-based education literature in social work by offering a guide to assess and measure key healthcare social work competencies in a range of educational environments, and has the potential to guide practice in educational and practice settings. (Edited publisher abstract)
The role of facilitator training in intervention delivery: preparing clinicians to deliver AFFIRMative group cognitive behavioral therapy to sexual and gender minority youth
- Authors:
- CRAIG Shelley L., et al
- Journal article citation:
- Journal of Gay and Lesbian Social Services, 33(1), 2021, pp.56-77.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Cognitive behavioral therapy (CBT) promotes sexual and mental health risk reduction. Tailored affirmative approaches, where facilitators validate participants’ lived experiences, can bolster CBT’s potential to improve coping and mood, especially for sexual and gender minority youth (SGMY). Specialized training better prepares clinicians to deliver affirmative CBT and contributes to implementation fidelity. This paper describes a standardized facilitator training for clinicians to deliver an affirmative CBT group intervention to SGMY. The AFFIRM training consists of fourteen hours of didactic and simulation-based learning. Study participants (n = 129) represented diverse professional, sexual, gender, and ethnoracial identities with a particular focus on community-based practitioners. To evaluate training effectiveness, The Affirmative CBT Facilitator Competence Scale (ACCS; 7-items, α = 0.922), designed for this study was completed by participants. Paired sample t-tests showed a significant difference between pre (M = 18.14, SD = 5.90) and post training scores (M = 25.97, SD = 6.34); t(128) = −16.21, p < .001). Thematic analysis of qualitative feedback identified two major themes strengthened ability to affirm SGMY identities and increased competence to deliver AFFIRM. The training increased the skills of a diverse group of clinicians to facilitate affirmative CBT to SGMY. (Edited publisher abstract)
Do marginalized youth experience strengths in strengths-based interventions? Unpacking program acceptability through two interventions for sexual and gender minority youth
- Authors:
- CRAIG Shelley L., FURMAN Ellis
- Journal article citation:
- Journal of Social Service Research, 44(2), 2018, pp.168-179.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Strengths-based interventions have potential to improve the wellbeing of sexual and gender minority youth (SGMY). This study examined the youth program acceptability of two strengths-based programs tailored for SGMY: ASSET (group counselling), and strengths first (SF) (care coordination). A mixed-methods approach was applied to secondary data extracted from client files (n = 247). Most participants were aged 15–18 (89%). Gender identities included woman (66%), man (30%), and transgender (<1%). Sexual orientations included bisexual (32%), lesbian (26%), gay (23%), and queer/pansexual (14%). Most participants identified as White, Hispanic (47%), Black, Non-Hispanic (17%), and Hispanic, No other race (19%). Program acceptability was measured using the 11-item Youth Acceptability and Strengths Scale. Quantitative analyses indicate program acceptability was high for SGMY participants and did not significantly differ across program type, gender identity, sexual orientation, or ethnoracial identity. There were no differences between strengths enhancement or client satisfaction between intervention types. Compared to group counselling, care coordination significantly increased problem-solving skills. Qualitative analysis identified that strengths-based interventions provided: (a) social support; (b) community; (c) confidence; and (d) positive mentors. Findings demonstrate the acceptability of strengths-based programming for SGMY. Strategies are provided to incorporate intervention program acceptability, yet future research is needed to explore youth acceptability. (Edited publisher abstract)
The intersecting cognitive and aging needs of HIV-positive older adults: implications for social work practice
- Authors:
- EATON Andrew David, CRAIG Shelley L., WALLACE Robert
- Journal article citation:
- Social Work in Health Care, 56(8), 2017, pp.733-747.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Cognitive impairment is a significant health concern for people ageing with HIV/AIDS. Using a community-based participatory research (CBPR) framework, the authors surveyed (n = 108) and interviewed (n = 20) people living with HIV who were over age 50 about their cognitive concerns and recommendations for social work intervention development. Quantitative findings indicate that the authors' sample was greatly engaged in their HIV care, yet participants had many cognitive concerns. Qualitative findings highlighted fear, shame, and uncertainty concerning HIV and ageing alongside a need for increased social work support. This paper provides practical engagement strategies for social workers to support clients concerning HIV, ageing, and cognition. (Edited publisher abstract)
Transgender representation in offline and online media: LGBTQ youth perspectives
- Authors:
- McINROY Lauren B., CRAIG Shelley L.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 25(6), 2015, pp.606-617.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Transgender people are increasingly depicted in both offline and online media. These representations inform the general public about transgender communities and have a significant impact on transgender young peoples’ identity development and lived experiences. This article describes the trends in contemporary media representations of transgender individuals, examines the perspectives of 19 LGBTQ youth regarding these messages, and explores the particular perspectives of 4 transgender youth participants. Clinical implications for social work practice are considered, including the potential usefulness of an ecological framework in considering the media engagement of LGBTQ young people. (Edited publisher abstract)
Thinking big, supporting families and enabling coping: the value of social work in Patient and Family Centered Health Care
- Authors:
- CRAIG Shelley L., BETANCOURT Itanni, MUSKAT Barbara
- Journal article citation:
- Social Work in Health Care, 54(5), 2015, pp.422-443.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Patient and family-centred care has become a focus in health services. Social work has a rich history of providing responsive patient care. This study identified the contribution and value of social work to PFCC from the key stakeholder perspectives of health social workers (n = 65). Utilising interpretive description, four themes emerged: (1) Thinking big and holistically, (2) Intervening with families, (3) Enabling patient and family coping, and (4) Maximising hospital and community resources. Barriers included a lack of power, professional isolation and role creep. Implications for research and practice are provided. (Edited publisher abstract)
Can information and communication technologies support patient engagement? A review of opportunities and challenges in health social work
- Authors:
- CRAIG Shelley L., LORENZO Maria Victoria Calleja
- Journal article citation:
- Social Work in Health Care, 53(9), 2014, pp.845-864.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article highlights some of the innovative ways in which information and communications technologies (ICT) have been adopted and adapted to augment social work practice within health care. The need for social workers to become proficient in the use of newer technologies, opportunities for implementing ICT within a health care setting, and potential challenges at the professional, ethical, and systemic level are explored. The article considers the use of ICT to improve interprofessional communication and decision making, streamlining case management, facilitating rapid assessments and clinical interventions, improving patient self-management and self-efficacy. Using the available literature as a guide, recommendations and strategies to strengthen implementation of ICTs into health social work are provided. These include the recommendation to include social workers in ICT development and adoption decisions; provide ICT training; use ICT for professional development; develop clear guidelines for ICT use, and invest in social work and ICT research initiatives. (Edited publisher abstract)
“It gets better” … but how? Exploring resilience development in the accounts of LGBTQ adults
- Authors:
- ASAKURA Kenta, CRAIG Shelley L.
- Journal article citation:
- Journal of Human Behavior in the Social Environment, 24(3), 2014, pp.253-266.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This inductive qualitative study explores resilience development in the accounts of LGBTQ adults in the United States by analyzing videos posted for the It Gets Better social media campaign (n = 21). The campaign involved posting video clips on YouTube to reach out to teenagers who were bullied because of their sexual orientation. Four major themes emerged: (1) leaving hostile social environments; (2) experiencing “coming out” in meaningful ways; (3) remembering the social environment; and (4) turning challenges into opportunities and strengths. These findings suggest that, despite the campaign's premise, life did not automatically get better for the LGBTQ participants. Rather, the findings offer a nuanced look at the pathways to resilience development. Implications for social work practice are discussed. (Edited publisher abstract)
Making the invisible visible: are health social workers addressing the social determinants of health?
- Authors:
- CRAIG Shelley L., BEJAN Raluca, MUSKAT Barbara
- Journal article citation:
- Social Work in Health Care, 52(4), 2013, pp.311-331.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study explored the ways in which health social workers address the social determinants of health (SDH) within their social work practice. Social workers (n = 54) employed at major hospitals across Toronto had many years of practice in health care (M = 11 years; SD = 10.32) and indicated that the social determinants of health were a top priority in their daily work; with 98% intentionally intervening with at least one and 91% attending to three or more. Health care services were most often addressed (92%), followed by housing (72%), disability (79%), income (72%), and employment security (70%). Few health social workers were tackling racism, Aboriginal status, gender, or social exclusion in their daily practice. (Edited publisher abstract)
Promoting self-efficacy and self-esteem for multiethnic sexual minority youth: an evidence-informed intervention
- Authors:
- CRAIG Shelley L., et al
- Journal article citation:
- Journal of Social Service Research, 38(5), October 2012, pp.688-698.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
It is widely known that sexual minority young people face multiple challenges, yet research regarding evidence-informed practice strategies for this population is limited. This study describes the pilot efforts of Strengths First, the first strengths-based intervention created specifically to promote self-esteem and self-efficacy among multi-ethnic sexual minority youth. A pre and post-test design was used to gather preliminary data from 162 programme participants about the potential effectiveness of the programme during a 2-year period that ranged from the inception of the program in June 2008 to September 2010. Overall, significant increases in self-esteem and self-efficacy were found. Implications for research and practice are discussed.