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The Strength-focused and Meaning-oriented Approach to Resilience and Transformation (SMART): a body-mind-spirit approach to trauma management
- Authors:
- CHAN Cecilia L.W., CHAN Timothy H.Y., NG Siv M.
- Journal article citation:
- Social Work in Health Care, 43(2/3), 2006, pp.9-36.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
The SMART model of crisis intervention aims at discovering inner strengths through meaning reconstruction and, as such, overcomes some of the limitations of more conventional approaches to helping people cope with personal and family crises as well as externally imposed threats. It encompasses a holistic view of health, employs facilitative strategies and promotes dynamic coping through a mix of Eastern spiritual teachings, physical techniques such as yoga and meditation, and psychoeducation to stimulate meaning reconstruction. The efficacy of the SMART approach is assessed in relation to two pilot studies conducted in Hong Kong at the time of the SARS outbreak, and attempts are made to respond to potential criticisms: that it is irrelevant in acute crises; that might alienate distressed clients; that it is time consuming and costly; that it requires highly trained therapists; and that it lacks empirical support. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Freeing Chinese abused women from stereotype: a pretest-posttest comparison study on group intervention in refuge centers
- Authors:
- CHOI Anna W.M., et al
- Journal article citation:
- Journal of Evidence-Informed Social Work, 15(6), 2018, pp.599-616.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Objective:The efficacy of heal-change group (HCG) intervention—brief trauma-recovery group intervention applying a gender-specific cognitive behavioural approach—for Chinese-abused women in refuge centres was examined in a pretest-posttest comparison study. Methods: A total of 100 women at three refuge centres in Hong Kong participated. Among them, 50 women from two centres joined the HCG and 50 women from the remaining centre participated in a comparison mutual support group. Participants and interviewers were blinded to the group assignment. Both groups were six sessions long. Linear regression analyses were performed using the intention-to-treat framework. Results: Significant improvements in PTSD symptoms (overall mean change of −1.6, p < .001; subdomain scores; p < .001 to < .01) and depressive symptoms (BDI-II mean change; p < .01) were recorded in the intervention group. Conclusion: The results suggest HCG is beneficial to Chinese-abused women. Further research is needed to determine the intervention’s effectiveness in improving longer-term outcomes in these women. (Edited publisher abstract)