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In this final article of the special issue Beyond the Manual: Using Data and Judgment in Clinical Social Work Practice, we extend the discussion regarding the use of data and judgment. We discuss the multiple sources of data used in practice, including research evidence, client perspectives and experience, moment-by-moment process observation, and client feedback regarding progress towards specific, desired outcomes. We move beyond current debates purporting one framework over another to propose a synthesizing framework that situates evidence-based practice, empirically supported interventions and common elements/mapping and adapting practice within a common factors scaffolding framework. This framework provides a way for social workers to effectively make sound judgments using research and client data within the demands of contemporary practice. The article provides a brief overview of the four practice approaches followed by the proposed scaffolding framework and rationale, and concludes with implications for practice, professional education, and research.

The present study examined the cumulative effects of risk and protective factors on internalizing and externalizing problems for a sample of youth who were diagnosed with a severe emotional disturbance and enrolled in an urban school-based system of care. The sample included 139 Latino and African American children (ages 5-19; 65 % male) and their families. After controlling for demographic variables, the results of hierarchical multiple regression analyses revealed that cumulative risk and protection were significantly related to internalizing problem behaviors, and cumulative protection was negatively related to externalizing problem behaviors. The findings support the importance of including or increasing strength building approaches, in addition to risk reduction, in order to maximize prevention and intervention efforts for system-of-care populations.

Children with emotional and behavioral disturbance often have difficulties in multiple symptom domains. This study investigates the relationships between child symptoms and caregiver strain and parenting stress among 177 youth and their caregivers participating in a school-based system of care. Youth were grouped by symptom domain and included those with low scores on both internalizing and externalizing symptoms, those with only high internalizing symptoms, those with only high externalizing symptoms, and those with high symptoms levels in both internalizing and externalizing domains. Results revealed significant group differences on measures of caregiver strain and parenting stress. Caregivers of youth with symptoms in both internalizing and externalizing domains reported the highest levels of strain and stress; however, there was some variation in group differences by caregiver outcome. The results of this study emphasize the importance of providing not only services for youth but also support services for their caregivers.

This study illustrates an experience of implementing a hybrid model for teaching human behavior in the social environment in an urban university setting. Developing a hybrid model in a BSW program arose out of a desire to reach students in a different way. Designed to promote curiosity and active learning, this particular hybrid model has students engage in weekly online activities between their weekly on-ground classes. This article reviews key pedagogical concerns and presents preliminary findings, including student feedback, instructor observations, and strategies for faculty interested in developing such courses. © 2013 Copyright Taylor and Francis Group, LLC.

Most undergraduate students pursue a social work major because of their desire to help others. Students tend to be more interested in doing than in understanding the research and knowledge of the profession and the complexities of social work practice. Instructors are often faced with the challenge of enhancing student motivation to learn challenging course material. This study explored student perceptions of instructor influences on their motivation and engagement in learning. Through online surveys, students described their experiences of being known and how those experiences affected their participation in practice, research, and human behavior in the social environment courses. Results showed that instructor caring (providing recognition, expressing relational qualities, and responding to students) positively influences student motivation and affective learning by increasing comfort, willingness to ask questions, take risks, and overall participation. Conversely, of those who reported mixed experiences or who felt unknown, most reported a negative impact on their motivation and participation. These findings suggest that social work faculty can influence student motivation and engagement with essential social work curriculum by expressing care and helping students feel known in the classroom. © 2013 Copyright Taylor and Francis Group, LLC.

This study examined clients who were admitted to a mental health respite program in the first 3 months of 2011 in order to identify the ability of the program to reduce symptom distress and to explore related psychosocial factors. Participants were provided with self-report questionnaires that included measurements of demographics, mental health status, symptom severity, and program satisfaction. Results indicate a significant improvement in symptom distress (p < 0.05), mental health confidence (p < 0.1), and self-esteem (p < 0.05) from admission to discharge. No change was detected in largely external measurements.

Home-based programs provide a growing number of mental health and case-management services to high-risk children, adolescents, and their families. The clinical service providers who work directly with these children and families have varying degrees of education and practice experience as well as a range of different supervisory needs. Because of the daily challenges service providers face, they require support from competent, available supervisors. The professionals who supervise them often assume that responsibility with limited, if any, training in providing supervision. New and experienced supervisors alike often find themselves in positions for which they are ill prepared, without suitable training or administrative support. This article describes a supervision seminar developed for supervisors who supervise the clinicians who provide home-based services. The seminar provides training, support, consultation, and other forms of assistance to help supervisors adapt their clinical skills for use in their supervisory roles.

Women's childbirth experiences are not widely researched in the social work literature. Therefore, the purpose of this study is to answer questions related to the child-birthing experience. One hundred and nineteen participants responded to a 26-item online questionnaire between April and June 2008, and their written narratives were analyzed using a grounded theory approach. Themes regarding the spiritual dimensions of childbirth emerged from the data and support current research demonstrating the importance of spirituality in women's lives and the meaningful and transformative nature of childbirth experiences. Implications for addressing spirituality in practice when working with childbearing women are explored. Future research that explores how spirituality may function as a protective factor for women with difficult pregnancies, births, and transitions to parenting is recommended.

This article explores the question of how human beings change, how change is constrained, and how change emerges out of and subsequently creates new forms of stability with adults. The emergence of Dynamic Systems Theories (DST) from developmental biology and neuroscience provide the tools to engage in such an understanding by attending to the issues of time, balance, influencing parameters (within person and sociocultural and material environments), and multiple adaptive and maladaptive pathways. DST provides the framework to understand the dynamic processes of bio-psychosocial factors that provide human beings with the stability and the flexibility to navigate the challenges and stressors of living. Complexity, the ability to experience inner continuity as one is changing, is a fluid balance that supports effective functioning. Findings: Key principles and concepts of DST describe multiple pathways of stability and change. A case example illustrates how DST helps social workers understand client experiences and responses to stressors, formulate initial and ongoing assessments, and monitor clients' participation in change activities. Application: Social workers seek to help people who experience an imbalance due to an inability to effectively respond to the negative impact of a stressor. By understanding the various pathways of balance and imbalance along the continuum of continuity to change, social workers can better understand how stressors are impacting specific clients, and subsequently the kinds of change that would best assist each client.

lessons learned from previous efforts with the goal of "getting it right" this time. In response to the common refrain that we know about and 'do' recovery already, the authors set the recovery movement within the conceptual framework of major thinkers and achievers in the history of psychiatry, such as Philippe Pinel, Dorothea Dix, Adolf Meyer, Harry Stack Sullivan, and Franco Basaglia. The book reaches beyond the usual boundaries of psychiatry to incorporate lessons from related fields, such as psychology, sociology, social welfare, philosophy, political economic theory, and civil rights. From Jane Addams and the Settlement House movement to Martin Luther King, Jr., and Gilles Deleuze, this book identifies the less well-known and less visible dimensions of the recovery concept and movement that underlie concrete clinical practice. In addition, the authors highlight the limitations of previous efforts to reform and transform mental health practice, such as the de-institutionalization movement begun in the 1950s, in the hope that the field will not have to repeat these same mistakes. Their thoughtful analysis and valuable advice will benefit people in recovery, their loved ones, the practitioners who serve them, and society at large. Foreword by Fred Frese, Founder of the Community and State Hospital Section of the American Psychological Association and past president of the National Mental Health Consumers' Association. © 2010 John Wiley & Sons, Ltd.

Direct practice social workers today are challenged to address the requirements of the complex array of professional, organizational, institutional, and regulatory demands placed on them in the broader socioeconomic context of fewer resources and diminished public support for social welfare services in the United States. The common factors model provides an accessible, transtheoretical, empirically supported conceptual foundation for practice that may help to resolve this conundrum and support effective practice. Common factors are conditions and processes activated and facilitated by strategies and skills that positively influence practice outcomes across a range ofpractice theories. The model provides an expanded conceptualization of the "active ingredients" required for change to include a focus on conditions and processes as well as practice strategies and to focus on all who are involved in the work. The model is described and implications for practice are discussed.

Constructing mutual, spiritually focused psychotherapy goals is a practice activity fraught with numerous ethical and countertransferential challenges. This article seeks to inform the thinking and enhance the ability of clinical social workers to engage in collaborative and responsive dialogues with their clients regarding the goals of spiritually focused clinical practice by (1) identifying the multiple value frameworks that influence decisions regarding practice goals, (2) articulating some of the ethical complexities and common countertransferential reactions associated with goal setting, and (3) providing self-reflection questions and guides to help therapists navigate the complexities of this material.

Although research is beginning to capture the complex interactions of biopsychosocial variables operating within experiences of stressors and trauma, the bodies of research have remained largely separate and limited. This study describes a scaffold of factors and pathways based on principles from dynamic systems theories (DST) to organize the literatures on stress and coping and trauma and resilience. As a process model, DST provides the language to understand both impact and response to stressors and trauma: Not as a list of symptoms but as interactive processes within persons and between persons and their surroundings. © Taylor & Francis Group, LLC.

Jaspers’ views on communication and his approach to the question of listening, both underwent an evolution in which World War II and the first years thereafter played a crucial role. In this process, Jaspers journeyed from listening to the great minds of the past, through an inward dialogue with them, to one-sided lecturing while his audience was engaged in a straight-line listening, to an intimate dialogue with those he considered like-minded, to a multi-faceted dialogue, and finally to listening to his contemporaries and learning how to practice transactional listening-in-conversation in the process of a multi-layered communication he called a loving struggle. This evolution, paralleled by the transition of Japers’ philosophy from local-centered to world-centered makes his thinking attractive and useful today.

The main problem discussed in this chapter is the question of compatibility between knowledge management in the knowledge economy and democracy in the ICT-driven global society. The assumption is made that democracy is the dominant form of organizing the global society on a variety of levels; and that it is regarded as desirable and morally superior in comparison with other such forms. © 2011, IGI Global.

Patterns of reading difficulty provide an educationally useful way to think about different kinds of reading problems, whether those problems are mainly experiential in nature (e.g., those common among English learners) or associated with disabilities (e.g., those typical of children with dyslexia). This article reviews research on three common patterns of poor reading: specific word-reading difficulties, specific reading-comprehension difficulties, and mixed reading difficulties. The purpose of the article is to explain how teachers can use assessments to identify individual struggling readers' patterns of reading difficulties, and how this information is valuable in differentiating classroom instruction and planning interventions.

This study explored American and Portuguese elementary teachers' preferences in planning for literacy instruction using the Language Arts Activity Grid (LAAG; Cunningham, Zibulsky, Stanovich, & Stanovich, 2009), on which teachers described their preferred instructional activities for a hypothetical 2-h language arts block. Portuguese teachers (N = 186) completed Portuguese versions of a background questionnaire and LAAG electronically, in Survey Monkey; American teachers (N = 102) completed identical English measures using paper and pencil. Results showed that teachers in both groups usually addressed comprehension and reading fluency on their LAAGs and that they also allocated the most time to these two areas. However, American teachers were more likely to include teacher-directed fluency activities, whereas Portuguese teachers were more likely to include fluency activities that were not teacher directed. Significantly more American than Portuguese teachers addressed phonics in their planning, whereas significantly more Portuguese than American teachers addressed writing processes such as revision. Both groups of educators demonstrated large variability in planning, with many teachers omitting important components of literacy identified by researchers, for writing as well as reading. The study highlights the importance of providing teachers with comprehensive, research-based core literacy curricula as well as professional development on key components of literacy. Study findings also suggest significant relationships between orthographic transparency and teachers' instructional planning.

Aims: There is a need for greater understanding of the recursive processes involved in drug policy development and its impact on stakeholders. The aim of this study was to examine the challenges of implementing marijuana policy in Massachusetts, where recent policy shifts have occurred. Methods: Qualitative data were generated from ethnographic field notes, media reports, public records and in-depth interviews with 25 stakeholders, including six medical marijuana dispensary entrepreneurs, eight health care professionals and 11 medical marijuana patients. Data were triangulated using a grounded theory approach. Findings: Stakeholders expressed confusion and misunderstanding, and demonstrated that they held conflicting interpretations of the policy and regulations. Analyses revealed gaps in policy development and implementation that are organised by three specific core implementation processes and the themes of transparency, communication and education. Conclusions: Findings show a need for more transparency in implementation processes, a more effective mode of communicating regulations, and a comprehensive plan for medical marijuana education. Based on our findings, we provide recommendations to help policymakers in the US and other countries considering legalisation of marijuana or other drugs.

Photovoice, a community-based participatory research method that allows participants to inform research questions in an intimate way, has proven successful with youth. A diverse group of teenage girls living in New York City were asked to take photographs and reflect on what messages they received and from whom, how these messages translate across cultures and ethnicities, and how these messages are internalized and acted on. The group selected specific photographs to discuss together and themes emerged to answer the research questions; themes were reinforced by journal responses and agreed on by the group at the concluding session. The participants identified the media, peers, and family as cultural influencers on body image but noted that these messages change depending on the delivering medium. Participants not only offered recommendations with policy implications for advertising and media giants but also urged public health practitioners, teachers, and other key stakeholders working with young women of color to simply provide them with more space for talking. While Photovoice served as an effective methodology for gaining a more expansive understanding of how body image messages are received with young women of color, the tool should be considered for youth development interventions that take a community-based participatory approach. © 2015, © 2015 Society for Public Health Education.

Children's exposure to potentially traumatic events is related to negative mental health outcomes. To promote more positive outcomes, protective factors that can buffer the impact of these experiences need to be identified. The present study examined whether lower parental stress might function as a protective factor for children enrolled in a behavioral health system of care. Specifically, the relationship between a history of interpersonal trauma (physical abuse, sexual abuse, and witnessing domestic violence) and internalizing and externalizing problem behaviors were examined, as was the role of parenting stress in helping to explain this relationship. The sample included African American and Latino children (ages 5-19) from low-income families, who have a serious emotional disturbance, and received services in a school-based system of care. Results of path analyses revealed that parenting stress mediated the relationship between trauma exposure and internalizing problem behaviors. For the relationship between trauma exposure and externalizing problem behaviors, mediation approached significance. The findings suggest that family factors, such as parenting stress, could be potential modifiable protective factors for these children. Systems of care can use this information to encourage the implementation of more family-focused treatments and interventions.