Eye movement desensitization and reprocessing (EMDR) is one of the two most empirically supported treatments for adult populations with noncombat, single-episode posttraumatic stress disorder (PTSD), with the other being exposure therapy. This entry describes the unconventional origin, theoretical underpinnings, and treatment protocol of EMDR, including its distinctive use of bilateral stimulation (that is, dual-attention stimulation). Also discussed are possible contraindications, unresolved issues, and the need for more research regarding the effectiveness of EMDR with other populations with PTSD, such as children and individuals with combat PTSD and complex trauma.
Sheila H. Akabas
Employee assistance programs (EAPs), or membership assistance programs when sponsored by unions, are designed to improve worker productivity and motivation by responding to problems that workers experience which interfere with job performance and satisfaction. Now a ubiquitous characteristic of American workplaces, the programs are largely staffed by social workers. This entry discusses their historic development, extent, scope, structure, how they are perceived and utilized by different racial and gender populations, and the dilemmas and challenges facing EAPs as they try to define their role, function, and best practices amid emerging trends in the world of work.
Ruth J. Parsons and Jean East
The concept of empowerment has deep roots in social work practice. Building upon the work of empowerment theorists of the 1980s and 1990s and applied broadly in the 2000s [Itzhaky and York (2000), Social Work Research, 24, 225–234; Travis and Deepak (2011), Journal of Ethnic and Cultural Diversity in Social Work, 20, 203–222], the concept of empowerment has evolved from a philosophical level to practice frameworks and methods. Substantial research confirms empowerment outcomes as personal, interpersonal, and sociopolitical. Practice interventions contain both personal and structural dimensions and are accomplished through multilevel interventions. Based on transformation ideology, empowerment is a counter to perceived and objective powerlessness. Social work relationships provide an opportunity for experiencing power and collaboration. Empowerment interventions are often useful with vulnerable populations, such as women and members of stigmatized groups.
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.
Elizabeth M. Tracy and Trista D. Piccola
The history and development of family preservation as a home-based service in social work practice is traced, current research is reviewed, and future practice trends and challenges are outlined in this entry. Family preservation services are described in terms of a philosophy of practice as well as a specified service model.
Katharine Briar-Lawson and Toni Naccarato
Over the decades, family services have been one of the overarching features of social work practice, education, and research. Efficacy studies help to reinforce the focus on serving individuals in the contexts of their families and to address intergenerational family systems. Families provide the bulk of services to their members but require tailored resources, effective services, and supports. The growing diversity in families compels more cross-cultural competence, responsive policies, and evidence-based practices. Family service practitioners must increasingly address the social exclusion of many families while integrating economic and employment supports with counseling, skill training, and other interventions.
Cynthia Franklin and Laura M. Hopson
Family intervention has become an important tool for social work practitioners. This entry provides a brief history of family intervention and important influences as well as a synopsis of current research. Although these interventions require more research to better understand the populations for whom they are most effective, the evidence supports their usefulness in addressing such issues as aggression, substance use, and depression, among others.
Sadye L. M. Logan
Families in almost all societies are viewed as the basic unit for coordinating personal reproduction and the redistribution of goals within the larger societal context of production and exchange. They are vulnerable to the rapidly changing economics of the environments in which they live. Universals regarding families worldwide include a delay in marriage, an increase in divorce rates, a decrease in household size and fertility rates, and nontraditional living arrangements. The most studied aspect of families continues to be family diversity, with greater emphasis on an interdisciplinary framework. There is also a movement toward more effective ways of treating families. Placing families in an historical context, this entry discusses evidence-based family interventions, the latest research on families, family diversity, and implications for social work practice and education.
Mikal N. Rasheed and Janice Matthews Rasheed
This entry traces the historical, conceptual, and theoretical development of social work practice with families, beginning with the Charity Organization Society and the Settlement House movement. From the 1920s through the 1950s, social work practice was heavily influenced by psychoanalytic theory. However, emerging theoretical frameworks, including systems and ecological theory from the 1960s and the 1970s, shifted the focus of intervention back to the family. The 1970s saw the development of a proliferation of models for family therapy. The emergence of postmodern, constructivist, narrative and feminist thought has had a more recent influence on social work practice with families. Although these theories and models of family therapy have profoundly influenced direct practice with families, there is a renewed interest in what is described as family-centered social work practice. The theoretical foundation of family-centered practice emphasizes a strengths perspective and an empowerment model of social work practice. This approach represents a broad range of interventions that build linkages between the family and key environmental support systems of diverse, multi-stressed, and at-risk families. During the 2000s, attention has shifted to evidence-based practice (EBP). The focus on EBP has been to provide a source of information for clinicians and families to consider when selecting an appropriate intervention for the presenting problem.
Cheryl A. Hyde
Feminist social work practice is based on principles derived from the political and social analyses of the women's movement. As a practice approach, feminism emphasizes gendered analyses and solutions, democratized structures and processes, diversity and inclusivity, linking personal situations with political solutions, and transformation at all levels of intervention. Feminist practice is in concert with a multisystemic approach; it complements and extends strength-based social work. It requires of the practitioner, regardless of method, to be relational and open to other ways of knowing and understanding.