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An Estonian saying holds that everyone has a unique song in their heart. This profound theme resonates throughout the pages of Song of my Soul. This work is not merely a memoir but a visceral journey through the heart of a besieged nation and a family’s unwavering struggle for survival. Rakfeldt’s narrative immerses the reader in the turbulent twentieth century, when Estonia became a pawn in Stalin and Hitler’s brutal power plays, marked by the devastating impact of three successive occupations. The author recounts his family’s harrowing escape to Sweden, their flight through Europe, and the process of building a new life in the West. He weaves together poignant episodes from his parents’ lives in Estonia, which were shattered by the Soviet invasion, forcing them to flee into forests and marshes and live as partisans hunted by Russian death squads. Beyond the historical account, Song of my Soul is a deeply personal journey. Rakfeldt begins to reclaim his ancestral heritage and fill the void left by displacement and loss. He grapples with questions of identity and belonging. This book serves as a testament to the resilience of refugee families and chronicles the suffering of the Baltic people. It resonates with anyone who has faced immigration challenges and with those seeking to understand the lasting strength of the human spirit.
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This research project was an exploratory mixed method study that explored risk and protective factors associated with Black women’s experiences with perinatal suicidal ideations. The sample included adult women who identified as Black and had experienced suicidal thoughts during pregnancy or postpartum (n = 9). Participants completed an electronic survey consisting of 54 total questions and the 30-item Racial Trauma Scale (RTS). Through their responses, most respondents reported being worried about a loved one’s safety and feeling that the world is unsafe. The respondents also felt that healthcare neglects the needs of Black women. The implications of these findings for clinical social work are that racism and discrimination create chronic stress upon Black pregnant women and their providers, resulting in poor health outcomes and stressful service delivery interactions. Therefore, improved screening and communication between providers and patients will have a positive impact on perinatal mental health in the Black community. © W. Montague Cobb-NMA Health Institute 2025.
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Persons with disabilities must be afforded a voice in constructing a system of inclusion in education to which they truly belong. Laws governing special education have increasingly adopted the concept of including individuals with disabilities in mainstream classrooms, often believing doing so counters the inherent othering of exclusion. Identity is not a singular dimension, and disability is only part of one's identity. But special education tacitly continues a mission of assimilating students with disabilities while simultaneously labeling them as disabled, revealing an ableist bias and perpetuating othering attitudes toward those on its rolls. This phenomenological qualitative study (N = 8) explored the lived experience of students enrolled in special education to gain greater understanding of the impact special education has on their sense of belonging in school. The study found enrollment in a school where all students had disabilities helped reveal to students nondisabled aspects of their identity, enabling them to feel more accepted by peers and staff, and enhancing their sense of belonging within the school. © 2025 2025 National Association of Social Workers.
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In the spring of 2020, when the COVID-19 pandemic necessitated the remote delivery of health and human services, few social workers were prepared to facilitate online groups. Research on virtual group work was limited, and the IASWG Standards for Social Work Practice with Groups offered minimal guidance for online practice. Charles Garvin encouraged the International Association for Social Work with Groups (IASWG) to enhance the Standards with “online considerations” that would support effective group work in virtual environments. Serving as a mentor and active member of the Task Force on Online Considerations, Charles Garvin inspired a systematic, collaborative, and internationally inclusive process that exemplified principles of socially just research. This paper describes the research and development of the online considerations and the limitations and possibilities of defining international guidelines for social work with groups. © 2025 Taylor & Francis Group, LLC.
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Sexual minority women (SMW) are a resilient yet vulnerable population who may experience poor psychosocial outcomes due to minority stress associated with their marginalized status and traumatic experiences resulting from interpersonal and structural violence. When SMW are incarcerated, the trauma of this experience can exacerbate existing mental health challenges. Self-concept is a key measure of mental health that is associated with increased self-efficacy and positive psychosocial outcomes. This analysis explores the ways in which incarceration impacts the self-concept of SMW. Secondary data analysis of three qualitative interviews with formerly incarcerated SMW was conducted. Specifically, Gilligan’s Listening Guide was used to create “I poems” that articulate the participants’ narratives and contrapuntal voices. These poems were then analyzed to build knowledge about participants’ self-concept. This analysis informs our understandings of self-concept among SMW, violence against women, the vulnerability of binary constructs, and the ways in which people negotiate past, present and future selves. The findings can inform interventions that seek to mitigate the psychosocial risks faced by SMW and formerly incarcerated people and improve outcomes for these populations.
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Objective: We aim to determine the association between insomnia symptoms and mental health in females and males and compare mental health care utilization and perceived barriers between females and males with insomnia symptoms. Methods: This is a cross-sectional study using the National Health Interview Survey. Insomnia symptoms included self-reported “trouble falling asleep”, ‘trouble staying asleep”, and “waking up feeling not well rested”. Mental health included self-reported anxiety and depression. Multivariable logistic regression was used to assess the association between insomnia symptoms and mental health in females and males. Results: A total of 26,691 adults were included. The mean age was 48.2 years; 51.4% were females, and 48.6% were males. Insomnia symptoms were associated with anxiety and depression for both females and males. These associations were stronger in younger adults (<50 years) than older adults (≥50 years). Females with insomnia symptoms were more likely to receive mental health care (OR = 1.7; 95% CI = 1.53, 1.87) but also to delay mental health care because of its cost (OR = 1.96; 95% CI: 1.67, 2.30) or needed mental health care but did not get it because of the cost (OR = 2.14; 95% CI: 1.82, 2.50) than their males counterpart. Conclusions: Insomnia symptoms were associated with mental health in females and males, being stronger in younger adults than older adults, with gender differences in mental health care utilization and financial barriers to mental health care. Holistic approaches involving prevention and better access to mental health care are warranted.
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As the U.S. population continues to age, increasing the prevalence of persons impacted by dementia in the community, faith communities are challenged to address the growing needs of their members. However, research has not looked specifically at the effects of religious social support on caregivers for persons living with dementia experiencing burden. This study aimed to address this gap by utilizing an exploratory, cross-sectional design to survey U.S. caregivers of persons living with dementia who expressed faith to be an important aspect of their life (n = 158). This study found that religious social support is a significant predictor of reducing burden among caregivers.
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Food is a central component of life in correctional institutions and plays a critical role in the physical and mental health of incarcerated people and the construction of prisoners’ identities and relationships. An understanding of the role of food in correctional settings and effective management of food systems may improve outcomes for incarcerated people and help correctional administrators to maximize the health and safety of individuals in these institutions. This report summarizes existing research about food systems in correctional settings and provides examples of food programmes in prison and remand facilities, including a case study of food-related innovation in the Danish correctional system. Specific conclusions are offered for policy-makers, administrators of correctional institutions and prison food services professionals,and ideas for future research are proposed.
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This chapter describes a two-step process including videotaping and process-recording activities to facilitate self-awareness and the expression of empathy and acceptance toward other points of view. These activities are designed for beginning student clinicians who are currently completing their coursework and their first clinical internship. The first step of videotaping helps clinicians become more aware of their inner thoughts, feelings, beliefs, and personal values. This first step also helps participating clinicians become more aware of their nonverbal communication with clients, helping them assess how their internal experiences of empathy and acceptance match what is being conveyed nonverbally to their clients. The second step of the activity, process recording, helps clinicians reflect on their ability to use self-awareness to analyze their inner experiences and their outer expressions of empathy and acceptance (both verbal and nonverbal) while still being attuned to their clients' communication.
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Proceedings of the XXXVIII and XXXIX International Symposium of the International Association for Social Work with Groups, New York City, New York, USA, June 15-18, 2016 and June 7-10 2017
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Can the story of social work be told through Objects? Might a collection of objects be more illuminating than a formal text book or a dry definition? In this engaging, photographic book, Mark Doel curates a collection of 127 objects contributed by people from around the globe to evoke a sense of social work - past, present and future. Written as a Guide to an Exhibition of Social Work, this is the ideal book to introduce social work to newcomers, and to entertain those with long experience of the profession. The objects are presented by a diverse group of people with different perspectives on social work, but with a common imagination.--From publisher.
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Proceedings of the XXXVIII and XXXIX International Symposium of the International Association for Social Work with Groups, New York City, New York, USA, June 15-18, 2016 and June 7-10 2017
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Proceedings of the XXXVIII and XXXIX International Symposium of the International Association for Social Work with Groups, New York City, New York, USA, June 15-18, 2016 and June 7-10 2017
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Focus groups were used to explore the most appropriate ways to conduct survey research about men’s relationships with women and their sexual assault behaviors that result in high response rates and decrease socially desirable answers. A racially diverse group of 24 English-speaking heterosexual men, aged 18 years or older, were recruited for participation in 3 focus groups. The men were asked to review a survey instrument used in a previous study and the results from that study. Analysis of the focus group transcripts indicates that the men responded to the survey instrument from 3 distinct perspectives: (a) perpetrators, (b) victims, and (c) respondents. From these perspectives, the men also commented on participant anonymity, survey construction and delivery method, question wording, and potential pitfalls in asking men about sexual assault.
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In this article, we use qualitative methods to understand the ways in which community involvement in a community-based mental health promotion conference encourages mental health care in an African-American community. We collected data through key informant interviews, focus groups, and participant observations at conference planning meetings and conferences, as well as archival documents related to the conference. We identify community partnerships and shared commitment as drivers of the outreach to people in the community, creators of a culturally relevant and supportive environment for mental health education, and, consequently, promoters of mental health care in the African-American community.
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Asian American and Pacific Islanders (AAPIs) are the fastest growing population in the United States with documented increases in HIV rates. AAPIs are as likely as other racial/ethnic groups to engage in HIV-related risk behaviors, while being concomitantly less likely to have been HIV tested. Testing is a critical step in HIV prevention. Research points to various barriers to HIV-related testing including HIV knowledge and attitude and stigma. However, these factors and their impact among AAPIs are poorly understood. Myths about this population's “model minority” status compound AAPIs' sociocultural factors including English language proficiency, access to healthcare, and a culture of “silence” that negatively influences HIV-related research. In this article, the authors review the scientific literature on knowledge, risk behavior, and stigma to document the current state of research. Based on the review the authors offer a set of research, policy, and practice recommendations for social workers and other service providers working with AAPIs.
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Worldwide labor migration has transformed and reshaped various fields of government policy and professional practices. Labor migration is associated with the non-economic social phenomena that scholars have increasingly paid attention to in both sending and receiving destinations. For practitioners in the field of education, medicine, nursing, social work, mental health, public health, and other professional practices, the human face of labor migration migrant workers and their families daily challenges often reveals the human cost of migration behind the image of economic gain and benefits. Migrant workers and their families are facing vexing challenges ranging from basic needs to psychosocial well-being, despite who they are and where they come from. Traditional ways of thinking and knowing cannot address these challenges adequately; rather, established divisions of professions, systems, disciplines, and/or areas of practice might just be the factor that constrains the ability to clearly articulate compelling problems and adds an additional layer of complexity to problem solving. This book focuses on country policies and practices, and draws on theoretical ideas that provide the intellectual basis. In addition, it offers vivid examples of how migrant workers manage to work, pursue economic security, strive and adjust in new communities, define and negotiate self and identity, and seek health and well-being. While the book illuminates shared challenges and experiences for each group of migrant workers (i.e. low-skilled workers, internal migrants and other types of migrating laborers), it also synthesises the intersectionality across all migrant workers, as they remain committed to bettering the lives of their families and communities in their origin countries as well as new host countries and communities. This volume reflects the efforts of interdisciplinary research and collaboration
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Background: HIV risk behavior in women who use drugs is related to myriad psychosocial issues, including incarceration. The experience of incarceration elevates women’s HIV risk by disrupting social networks, housing, employment, and access to health care. During the COVID-19 pandemic, changes in criminal-legal practices resulted in decreased incarceration, especially among women. These changes may have largely altered HIV risk among women who use drugs, depending on their access to care in the community. Objective: This study seeks to build knowledge about the impact of shifts in criminal-legal practices during the COVID-19 pandemic on HIV risk behaviors of justice-involved women who use drugs. Methods: Qualitative methods are used to gather and analyze women’s narratives about their life experiences before and during the COVID-19 pandemic, with a focus on individual and structural determinants of HIV risk behaviors. Thirty formerly incarcerated women with a history of substance use are being recruited through collaboration with community partners. Each participant completes a sociodemographic survey and two interviews. The first interview uses a life history instrument that invites participants to reflect on key turning points in their lives. The second interview uses a calendar approach to gather information about participants’ lives during the first year of the COVID-19 pandemic (March 2020-March 2021). The interviews (1 hour each) are audio-recorded and transcribed for analysis. Rapid Qualitative Inquiry and thematic analysis are being used to manage, organize, and interpret the data. The study team will collaborate with a subset of participants to develop digital stories about their COVID-19 experiences, a process that allows for member-checking and triangulation. Findings will be disseminated to program and policy makers in academic venues, community settings, and social service agencies. Results: To date, 10 women’s data have been collected. In total, two themes have been identified in this preliminary data: (1)the chaos and instability of participants’ lives increased during the COVID-19 pandemic: participants reported a wide range of psychosocial and health problems and limited engagement with social service systems. Interaction with criminal-legal systems was rife with uncertainty; participants described living in a state of limbo, which was extremely stressful. (2) When asked to describe a “turning point” in their lives, many participants attributed their substance use to the traumatic loss of a child due to death, incarceration, or termination of parental rights. During the COVID-19 pandemic, participants’ struggles to cope with these unresolved experiences of grief and loss were intensified by the widespread death and dying of the pandemic. Conclusions: Preliminary findings suggest that HIV risk factors increased for participants during the COVID-19 pandemic and invite further investment in community-based harm reduction programs, especially housing, that support women who use drugs. Interventions that address experiences of maternal grief and loss may reduce women’s substance use. Trial Registration:
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