Larry W. Bennett and Oliver J. Williams
Perpetrators of intimate partner violence (IPV) use coercive actions toward intimate or formerly intimate partners, including emotional abuse, stalking, threats, physical violence, or rape. The lifetime prevalence of IPV is 35% for women and 28% for men, with at an estimated economic cost of over ten billion dollars. IPV occurs in all demographic sectors of society, but higher frequencies of IPV perpetration are found among people who are younger and who have lower income and less education. Similar proportions of men and women use IPV, but when the effects of partner abuse are considered, women bear the greatest physical and behavioral health burden. Single-explanation causes for IPV such as substance abuse, patriarchy, and personality disorders are sometimes preferred by practitioners, advocates, and policymakers, but an understanding of IPV perpetration is enhanced when we look through the multiple lenses of culture and society, relationship, and psychological characteristics of the perpetrators.
Jessica M. Black
Scientific findings from social sciences, neurobiology, endocrinology, and immunology highlight the adaptive benefits of positive emotion and activity to both mental and physical health. Positive activity, such as engagement with music and exercise, can also contribute to favorable health outcomes. This article reviews scientific evidence of the adaptive benefits of positive emotion and activity throughout the life course, with examples drawn from the fetal environment through late adulthood. Specifically, the text weaves together theory and empirical findings from an interdisciplinary literature to describe how positive emotion and activity help to build important cognitive, social, and physical resources throughout the life course.
The past two decades have witnessed a surge in the growth of initiatives and funding to weave physical and behavioral health care, particularly with identification of the high costs incurred by their comorbidity. In response, a robust body of evidence now demonstrates the effectiveness of what is referred to as collaborative care. A wide range of models transverse the developmental lifespan, diagnostic categories, plus practice settings (e.g., primary care, specialty medical care, community-based health centers, clinics, and schools). This article will discuss the foundational elements of collaborative care, including the broad sweep of associated definitions and related concepts. Contemporary models will be reviewed along with identified contextual topics for practice. Special focus will be placed on the diverse implications collaborative care poses for the health and behavioral health workforce, especially social workers.
The historical development of the borderline concept is traced up through the development of the diagnosis of borderline personality disorder (BPD). Treatments for BPD during the 1970s and 1980s are discussed, including the object relations theories of Margaret Mahler and James Masterson, as well as trauma theory described by Judith Herman. Three evidence-based treatments (EBTs) that have emerged from the 1990s to the present time are described, as well as findings from brain imaging techniques and how new EBTs and neuroimaging have changed the view of this disorder.
Shaun M. Eack
Mental health research is the study of the causes and correlates of mental health and illness, approaches to improve mental well-being, and the delivery of effective mental health services to those in need. Social workers have been leading researchers in each of these areas of inquiry, and this article provides an overview of the broad field of mental health research, with particular emphasis on the contributions of social work. A biopsychosocial review of research on the correlates of mental health and illness is provided, followed by a synthesis of studies examining pharmacological and psychosocial approaches to improving mental health. Research on mental health services is then presented, with a focus on studies seeking to improve access to quality care and reduce service disparities. Key directions for future mental health research include identifying specific causal predictors of mental illness, improving existing treatments, and disseminating advances to the community.
Sara Sanders, Matthew Tvedte, and Mercedes Espinal-Lujan
This article summarizes the history of grief theory and provides an overview of major theoretical frameworks for understanding grief and grief work. Specific types of losses are defined and described, including the newer concept of community grief and loss. Interventions for individuals, groups, and communities are outlined, followed by a discussion of the role of social workers in addressing grief and loss.
Jessica M. Black
Although it was once widely held that development through toddlerhood was the only significant time of tremendous brain growth, findings from neuroscience have identified adolescence as a second significant period of brain-based changes. Profound modification of brain structure, function, and connectivity, paired with heightened sensitivity to environment, places adolescence both as a heightened period of risk and importantly as a time of tremendous opportunity. These findings are of key relevance for social-work policy and practice, for they speak to the ways in which the adolescent brain both is vulnerable to adverse conditions and remains responsive to positive environmental input such as interventions that support recovery and resilience.
B. Michelle Brazeal and Gordon MacNeil
Obsessive compulsive disorder (OCD) is a debilitating anxiety problem. This article reviews the characteristics, etiology, prevalence, and assessment of OCD and presents information on the efficacy of psychological, pharmacological, and combined treatments for this disorder. Early intervention that includes pharmacological agents (typically SSRIs) as well as behavioral and cognitive-behavioral psychotherapies (particularly exposure and response prevention) is the preferred method of intervening with OCD.
Sarah E. Bledsoe, Brianna M. Lombardi, Brittney Chesworth, and Samuel Lawrence
This article discusses interpersonal psychotherapy (IPT), a psychotherapeutic intervention developed by Gerald Klerman, Myrna Weissman, and colleagues in the 1970s as an outpatient treatment for major depression in adults. Based on the theories of Harry Stack Sullivan and Adolph Meyer, IPT is a manualized, time-limited intervention that addresses the underlying interpersonal antecedents and correlates of psychiatric illness. The goal of IPT as originally developed is to reduce depressive symptoms and improve interpersonal relationships. IPT has been widely tested in adults and adolescents and is an empirically supported treatment for major depression. IPT has been adapted for a variety of psychiatric illnesses and problems of living including perinatal depression, anxiety, and trauma-related disorders. Current evidence detailed below supports the use of IPT across cultures, illnesses, and populations.
June Simmons, Sandy Atkins, Janice Lynch Schuster, and Melissa Jones
Transitions in care occur when a patient moves from an institutional setting, such as a hospital or nursing home, to home or community, often with the hope or expectation of improving health status. At the very least, patients, clinicians, and caregivers aim to achieve stability and avoid complications that would precipitate a return to the emergency department (ED) or hospital. For some groups of vulnerable people, especially the very old and frail, such transitions often require specific, targeted coaching and supports that enable them to make the change successfully. Too often, as research indicates, these transitions are poorly executed and trigger a cycle of hospital readmissions and worsening health, even death. In recognizing these perils, organizations have begun to see that by improving the care transition process, they can improve health outcomes and reduce costs while ensuring safety, consistency, and continuity. While some of this improvement relies on medical care, coaching, social services and supports are often also essential. Lack of timely medical follow-up, transportation, inadequate nutrition, medication issues, low health literacy, and poverty present barriers to optimal health outcomes. By addressing social and environmental determinants of health and chronic disease self-management, social workers who make home visits or other proven timely interventions to assess and coach patients and their caregivers are demonstrating real results. This article describes care transitions interventions, research into barriers and opportunities, and specific programs aimed at improvement.