David L. Hussey
This chapter summarizes literature and research related to advances in direct practice work with adolescents. Social workers are on the forefront of developing and utilizing a variety of evidence-based practices to address complex client and community needs.
Sharon E. Moore
African Americans number about 35 million or 12% of the U.S. population. Their life expectancy is lower than that of White Americans, and despite the educational gains made since mid-1980s, the unemployment gap between African Americans and Whites has increased. Similarly, although the number of African Americans working in white-collar occupations has increased, the disparity in wage earnings between African American and White workers continues. Regardless of social class African Americans are made to be cognizant of their race at all times. Today they are still at risk for social issues such as substance abuse, teen pregnancy, incarceration, poverty, high rates of female headed households, infant mortality that is twice as high as Whites, residential segregation, racism, and discrimination. As daunting as these problems are, the strengths of the African American community have allowed it to thrive even amid arduous circumstances.
Tonya Edmond and Karen Lawrence
Since its inception in 1987, eye movement desensitization and reprocessing (EMDR) therapy has been the subject of lively debate and controversy, rigorous research both nationally and internationally, and is now used by licensed practitioners across six continents as an effective treatment of trauma symptoms and posttraumatic stress disorder (PTSD). The aim of this entry is to provide social work practitioners and researchers with a description of the treatment approach for adults and children, EMDR’s development and theoretical basis, a review of controversial issues, and an overview of the evidence of effectiveness of EMDR across trauma types and populations.
Michelle Alvarez, Kimberly Zammitt, Laura Strunk, and Kevin Filter
A functional behavioral assessment (FBA) is a set of procedures that are used to assess and identify environmental conditions that predict and maintain behavior FBA is a means to determine the purpose of a person’s behavior and the ways in which the behavior is reinforced in the person’s environment. Underlying the functional assessment of behavior is the assumption that the way one behaves is functionally related to aspects of the environment. This relation is reliable, predictable, and observable, and can thus be assessed by an outside observer. The FBA entails the use of a series of methods to determine the variables that contextualize a behavior of interest. Contextual variables can include any aspect of the individual’s environment and are usually separated temporally between those factors that occur before a behavior and those which occur after. The latter are termed consequences and the former are typically referred to as antecedents. Usually, the behaviors under study, especially in applied settings, are called target behaviors. Temporally, these factors are conceptualized in an ABC framework: antecedent, behavior, and consequence. The behavior of interest is the target of a subsequent intervention; the intervention is informed by the FBA and utilizes the understanding of the behavior’s purpose. Antecedents are altered such that target behaviors are no longer prompted or motivated by environmental conditions, new socially acceptable behaviors are taught that can access the desired reinforcer and replace the target behavior, and reinforcers are altered to decrease access when the target behavior occurs and increase access when the replacement behavior occurs. FBAs are frequently used in schools to address problem behaviors. Problem behaviors occur with students in the school setting for many different reasons. Research has determined that the use of FBAs is useful in identifying environmental factors that predict and maintain problem behaviors. The use of FBAs in the school setting has proven to increase positive student outcomes. This article demonstrates how FBAs can be used effectively in different settings.
Craig Winston LeCroy and Jenny McCullough Cosgrove
Research has shown groups are an efficient and effective modality for interventions with school-aged children. Psychoeducational and psychotherapeutic groups are frequently used to guide children in areas such as skills training, emotional regulation, violence prevention, and grief. There are key developmental questions to consider when working with children that take into consideration factors such as cognitive development and emotional maturity. Overall, groups can be an efficient and effective intervention in the school setting for use by school social workers.
Larry D. Icard, Jacqueline J. Lloyd, and Gisoo Barnes
HIV/AIDS has introduced an array of issues and needs for children, youth, and their families. Family-focused interventions have emerged as a viable strategy for researchers and practitioners seeking effective and appropriate responses for the prevention, treatment, and care of children, youth, and families affected by HIV/AIDS. This discussion provides an overview of the epidemiology of HIV infection among children and youth, and highlights common elements and trends in the development, implementation, and testing of family-focused interventions. The discussion concludes with a commentary on areas for future attention.
Susan F. Allen and Elizabeth M. Tracy
Home visiting and home-based intervention are two strategies used by social workers when working with individuals or families in direct practice. The basic rationale for home-based work is the benefit to social workers’ assessments and understanding of clients, as well as the benefit of more relevant practice with families who are seen in the setting where difficulties are occurring. Home-based interventions have been shown to be effective in improving health and decreasing family discord. When visiting the home, the social worker has the added responsibility of respecting the privacy of families as a guest in their homes.
Kathleen Coulborn Faller
Social workers play a vital role in helping physically and sexually abused children. In order to play this role, they need knowledge about the nature of the problem: (1) legal definitions of physical and sexual abuse, (2) its incidence and prevalence, and (3) its signs and symptoms. Social workers have three major roles to play: (1) identifying and reporting child abuse to agencies mandated to intervene; (2) investigating and assessing children and families involved in child abuse; and (3) providing evidence-based interventions, both case management and treatment, to physically and sexually abused children.
Wendy Haight and Priscilla Gibson
Racial disproportionality in out-of-school suspensions (suspensions) is a persistent, multi-level social justice and child well-being issue affecting not only youth, families, and schools but society as a whole. It is a complex, multiple-level social problem that will require an equally complex response. The design of effective remedies will require adequate understanding of the problem as well as the historical and sociocultural contexts in which it emerged and is perpetuated. Progressive educators have offered a number of alternatives to harsh and exclusionary discipline, but research is needed to examine their effectiveness, especially in reducing racial disproportionalities.
Michael S. Kelly
This entry will focus on a model of intervention (the three-tier model often known as “Response to Intervention,” or RTI) that has become infused into school districts around the United States and is likely going to continue to impact the practice of school social workers and community-based social workers who provide services in schools. Since the 1990s, the literature around improving the academic achievement and behavioral functioning of school-age children has gradually focused more on RTI as a way to implement effective early intervention strategies for youth to prevent school failure. The principles of RTI have also come to be associated with a related but distinct model of Positive Behavior Interventions and Supports (PBIS, sometimes also called Positive Behavior Supports/PBIS or School-Wide Positive Behavior Supports/SWPBIS) and this approach has also been promoted as an effective framework to improve an entire student body’s academic and social, emotional, or behavioral functioning. This entry will discuss the history of RTI (and PBIS), the policy context for the approaches’ growing adoption in American K–12 schools, and the (still small but growing) evidence base for RTI and PBIS as approaches for schools to enhance student academic and behavioral outcomes. Additionally, the specific role of school social workers (and community-based social workers working in schools) will be highlighted, specifically how the growing influence of RTI and PBIS offers new opportunities for social workers to serve schools, students, and families.