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Your search for all content returned 143 results

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  • Key Concepts and Techniques for an Aging WorkforceGo to chapter: Key Concepts and Techniques for an Aging Workforce

    Key Concepts and Techniques for an Aging Workforce

    Chapter

    The aging population is at a state of development that is not as focused on employment, and thus has difficulty finding its place in a society that defines people by their careers. Research is needed on the issues of aging workers, such as training needs, career transition issues, and retirement planning. Research is also needed on which accommodations, workplace modifications, and changes to policies and practices positively impact the retention and continued productivity of an aging workforce. Counselor practitioners are in a unique position to contribute to needed research design conceptualization, metrics, and analyses to test the multiplicity of interventions we will be exploring in the coming years to keep our aging workforce healthy and intellectually engaged in the employment environment. Counselors are experientially qualified to provide the needed services to keep this population productive and more fully engaged in their communities and continuing employment.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Users of Assistive Technology: The Human ComponentGo to chapter: Users of Assistive Technology: The Human Component

    Users of Assistive Technology: The Human Component

    Chapter

    Assistive technology (AT) has a profound impact on the everyday lives and employment opportunities of individuals with disabilities by providing them with greater independence and enabling them to perform activities not possible in the past. Self-esteem, self-efficacy, and motivation are described as central elements in increasing a consumer’s confidence and belief in self. Good outcomes and efficacy expectations, as well as strong motivation, help lead to successful adaptation to AT. This chapter presents the human component of technology, the relationship between consumers and technological devices/equipment, and the acceptance and use by consumers. It offers recommendations to assist rehabilitation professionals in helping consumers with accepting, utilizing, and benefiting from technology. There needs to be a close and appropriate fit between the technological device and consumer. Therefore, the need for the counselor to actively listen and engage the consumer in the process is essential to the effectiveness and outcome of AT success.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Changes in Attitudes Toward People With HandicapsGo to chapter: Changes in Attitudes Toward People With Handicaps

    Changes in Attitudes Toward People With Handicaps

    Chapter

    Accepting the handicapped person as a full human being means accepting him or her as having the full range of human needs. The location of institutions and the houses in which handicapped people can live becomes important because their location within communities enables participation of the handicapped in community offerings. Architectural barriers become an issue because their elimination enables people with a wide range of physical abilities to have access to events within buildings at large. The lives of handicapped people are inextricably a part of a much wider socioeconomic political and ethical society affecting the lives of all people. It is therefore essential for all of us to remain vigilant to protect and extend the hard-won gains of recent decades and to be ready to counter undermining forces. Vigilance requires thoughtful action guided by continuing reevaluation of the effectiveness of present efforts and alertness to needs of changing conditions.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • From Empathy Fatigue to Empathy ResiliencyGo to chapter: From Empathy Fatigue to Empathy Resiliency

    From Empathy Fatigue to Empathy Resiliency

    Chapter

    This chapter offers (a) a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, (b) a recently developed tool (Global Assessment of Empathy Fatigue [GAEF]) that may be useful for screening and identifying professionals who may be experiencing empathy fatigue, and (c) resources for self-care of empathy fatigue and building resiliency. The chapter’s author hypothesizes that empathy fatigue may be different from other types of counselor impairment and fatigue syndromes. The experience of empathy fatigue is both similar and different from other types of counselor impairment or professional fatigue syndromes. Thus, it is hypothesized that the cumulative effects of multiple client sessions throughout the week may lead to a deterioration of the counselor’s resiliency or coping abilities. Developing a clearer understanding of the risk factors associated with empathy fatigue is pivotal in developing self-care strategies for the professional counselor.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Religion and Disability: Clinical, Research, and Training Considerations for Rehabilitation ProfessionalsGo to chapter: Religion and Disability: Clinical, Research, and Training Considerations for Rehabilitation Professionals

    Religion and Disability: Clinical, Research, and Training Considerations for Rehabilitation Professionals

    Chapter

    It is clear that laypersons, health professionals, and researchers are interested in addressing the importance of religion in society and in health care. However, if we are to use religion effectively to improve the health of individuals, there is a need to better educate current rehabilitation professionals and students about religion, to critically evaluate the existing literature on disability and religion, and to develop practical suggestions for rehabilitation professionals to appropriately use religion to promote positive health outcomes. Rehabilitation professionals need to collaborate with faith-based organizations to improve the physical and mental health of persons with disabilities, as well as their ability to reintegrate back into their communities. Such collaborations are particularly important given the resources that are available in most community churches (e.g., church vans, counseling services) to assist persons with disabilities with transportation and provision of social support.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Interventions and ResourcesGo to chapter: Interventions and Resources

    Interventions and Resources

    Chapter
    Source:
    The Psychological and Social Impact of Illness and Disability
  • Family Adaptation Across Cultures Toward a Loved One Who Is DisabledGo to chapter: Family Adaptation Across Cultures Toward a Loved One Who Is Disabled

    Family Adaptation Across Cultures Toward a Loved One Who Is Disabled

    Chapter

    The first experiences of supportive and social units come, most often, from the family. This chapter discusses the impact of disability on family by examining the reactions of family members to disability, factors that influence adjustment to disability in the family, adjustment models, parenting reaction perspectives, effective family coping, the impact of disability based on the family role of the person with a disability, and cultural influence on family adaptation to disability. It is important to assess family needs and support services so that the family does not become overwhelmed or feel isolated in their endeavors to assist their loved one and to integrate into the larger community. This involves understanding numerous differences in family reactions and functioning based on the resilience of the family, who in the family has the disability, the extent of the disability, the resources available, and cultural beliefs and practices.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Social Justice, Oppression, and Disability: Counseling Those Most in NeedGo to chapter: Social Justice, Oppression, and Disability: Counseling Those Most in Need

    Social Justice, Oppression, and Disability: Counseling Those Most in Need

    Chapter

    The root causes of social injustice are in part centralized around wealth inequities, politicians, and legislation favoring the wealthy, discrimination, and a Darwinian mentality. This chapter explores the ramifications of social injustice in America focusing on those with disabilities. It discusses the ripple effect of poverty, oppression, and disability, and its subsequent deleterious impact for equitable treatment and opportunity. Beginning with prevalence statistics regarding poverty in general and disability specifically, the chapter segues into an exploration of the domino and vicious cycle effect of inequitable education, employment, health care, and health. The resulting psychosocial impact on minorities and those with disabilities is a reciprocal occurrence between these populations interfacing with an arguably apathetic societal and political populace. Finally, the chapter discusses a dialogue regarding the social justice counselor and strategies for counseling and advocating for this most ignored and disenfranchised population in America.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Giving Parents a Voice: A Qualitative Study of the Challenges Experienced by Parents of Children With DisabilitiesGo to chapter: Giving Parents a Voice: A Qualitative Study of the Challenges Experienced by Parents of Children With Disabilities

    Giving Parents a Voice: A Qualitative Study of the Challenges Experienced by Parents of Children With Disabilities

    Chapter

    No other single individual or health care provider has more influence on the personal health and wellness of a child with a disability than the parent. To date, however, much research concerned with the well-being of parents of children with disabilities has not captured their experiences from the perspective of the parents themselves. Qualitative methods permit researchers to study selected issues in depth, and they produce a wealth of detailed information that increases understanding of the cases and situations studied. This chapter identifies specific sources of challenges related to raising a child with a disability as expressed by parents themselves. Specifically, it investigates the following research questions: (a) What are the principal stressors and challenges for parents of children with disabilities? and (b) What supports and services do parents identify as being needed to deal with the stress and challenges of their responsibilities?.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Rehabilitation Professionals and Abuse of Women ConsumersGo to chapter: Rehabilitation Professionals and Abuse of Women Consumers

    Rehabilitation Professionals and Abuse of Women Consumers

    Chapter

    Rehabilitation counselors can begin to assist women with issues of abuse by acknowledging that advocacy and protection from abusive behavior are a priority for many women with disabilities. By routinely asking about abuse and addressing issues of safety and control during rehabilitation planning, counselors can provide valuable information, resources, and support that may help prevent abuse from occurring and assist women for whom abuse has occurred. To address abuse issues during rehabilitation, rehabilitation professionals have several responsibilities to (a) learn about violence by using available training related to abuse of people with disabilities; (b) employ universal screening as a routine client-intake procedure; (c) volunteer information, resources, and referrals to clients who are in danger or at risk of an abusive situation; (d) facilitate collaboration with domestic violence shelters to supply personal care services and replace medications and assistive devices left behind in an emergency situation.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Quality of Life and Coping With Chronic Illness and Disability: A Temporal PerspectiveGo to chapter: Quality of Life and Coping With Chronic Illness and Disability: A Temporal Perspective

    Quality of Life and Coping With Chronic Illness and Disability: A Temporal Perspective

    Chapter

    The concept of quality of life (QOL), as a psychosocial construct, process, measure, goal, and outcome, has gained much popularity in the rehabilitation literature during the past 35 years. As both a goal (i.e., assisting clients with chronic illnesses and disabilities (CIDs) to attain a better QOL) and a process-outcome indicator (i.e., assessing both subjective and objective levels of QOL during and following rehabilitation interventions), QOL has become one of the most prominent and central concepts in the field of rehabilitation. This chapter familiarizes the reader with the conceptual and temporal parallelism underlying the domains of community interventions and personal coping, of which rehabilitation services are an essential component, as part of their joint goal to improve QOL. It provides examples from the field of psychosocial rehabilitation, and more specific coping with CID, that address the temporal nature of QOL-improving coping strategies.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Obesity as a Disability: Medical, Psychosocial, and Vocational ImplicationsGo to chapter: Obesity as a Disability: Medical, Psychosocial, and Vocational Implications

    Obesity as a Disability: Medical, Psychosocial, and Vocational Implications

    Chapter

    This chapter explores a range of topics related to obesity, including its prevalence, medical aspects, and associated complications. Other relevant areas include the psychosocial factors pertaining to societal attitudes and individual mental health issues, vocational implications concerning work/wage discrimination, Social Security regulations, and Americans with Disabilities Act (ADA) protections. The chapter also discusses the implications for rehabilitation counselors regarding vocational and mental health counseling. The implications of working with persons who are obese or overweight may be broken down into mental health counseling and/or vocational counseling. Obesity and related medical complications have soared to the forefront of medical conditions that lead to premature death, discrimination in employment, compromised quality of life, and negative psychosocial implications. Counselors who are aware of the medical, psychosocial, and vocational implications of obesity can assist clients in a variety of ways, keeping Olkin’s (1999) recommendations in mind regarding disability-affirmative therapy.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Working With Trauma-Related Mental Health Problems Among Combat Veterans of the Afghanistan and Iraq ConflictsGo to chapter: Working With Trauma-Related Mental Health Problems Among Combat Veterans of the Afghanistan and Iraq Conflicts

    Working With Trauma-Related Mental Health Problems Among Combat Veterans of the Afghanistan and Iraq Conflicts

    Chapter

    The impact of extraordinarily stressful and traumatic events on active-duty service members, veterans, and their family members is a critically relevant topic when providing services to those who have a combination of mental and physical disabilities. Recent conflicts in Iraq, Afghanistan, and other countries in the Middle East have spurred the expansion of programs and services for veterans, including those with disabilities. To inform the provision of mental health interventions for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF)/Operation New Dawn (OND), veterans, a thorough understanding of the mental health problems in this population is a necessary first step. This chapter reviews research on the prevalence and types of mental health problems among OEF/OIF/OND veterans, associated risk factors, and other psychosocial issues and provides empirical evidence for treatment in this population. This material provides guidance to clinicians working with mental health and psychosocial problems of veterans of the OEF/OIF/OND conflicts.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • The Personal Impact of DisabilityGo to chapter: The Personal Impact of Disability

    The Personal Impact of Disability

    Chapter
    Source:
    The Psychological and Social Impact of Illness and Disability
  • Historical Perspectives on Illness and DisabilityGo to chapter: Historical Perspectives on Illness and Disability

    Historical Perspectives on Illness and Disability

    Chapter
    Source:
    The Psychological and Social Impact of Illness and Disability
  • On the Origins of Negative Attitudes Toward People With DisabilitiesGo to chapter: On the Origins of Negative Attitudes Toward People With Disabilities

    On the Origins of Negative Attitudes Toward People With Disabilities

    Chapter

    In the past quarter of a century, several attempts have been made to categorize the different sources of negative attitudes toward individuals with disabling conditions. This chapter integrates the major approaches in the domain of attitudinal sources toward people with disabilities and offers a new classification system by which these attitudes can be better conceptualized and understood. Some of the major categories included are: (a) conditioning by sociocultural norms that emphasize certain qualities not met by the disabled population; (b) childhood influences in which early life experiences foster the formation of stereotypic adult beliefs and values; and (c) psychodynamic mechanisms that may play a role in creating unrealistic expectations and unresolved conflicts when interacting with disabled persons. Parental and significant others’ actions, words, tone of voice, gestures, and so forth, are transmitted to the child and tend to have a crucial impact on the formation of attitudes toward disability.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Psychosocial Disparities Faced by Women With Physical DisabilitiesGo to chapter: Psychosocial Disparities Faced by Women With Physical Disabilities

    Psychosocial Disparities Faced by Women With Physical Disabilities

    Chapter

    Women with disabilities constitute one of the largest and most disadvantaged populations in the United States. This chapter helps rehabilitation counselors understand the myriad factors that affect the psychological and social health of women with disabilities. After giving some background on the historical roots of the rehabilitation response to women and a description of the demographic and health characteristics of this population, the chapter presents a heuristic, holistic model for understanding the reality of our lives and strategies for helping us achieve optimal health. It first discusses the pivotal construct of self-esteem, followed by social connectedness, its polar opposite abuse and the consequences of disparities stress and depression. The chapter ends with recommendations on strategies that the rehabilitation researchers and practitioners can use to include gender in their examination of individual and program outcomes, and thereby advance the field.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Beyond the Binary: Rethinking the Social Model of Disabled SexualityGo to chapter: Beyond the Binary: Rethinking the Social Model of Disabled Sexuality

    Beyond the Binary: Rethinking the Social Model of Disabled Sexuality

    Chapter

    Many disabled people who have internalized dominant, ableist, heteronormative notions of strength, beauty, sex, and sexuality continue to experience psychological insecurity and distress when confronted with their own sexuality. The institutionalization of disability studies and the proliferation of a vibrant and dynamic disability culture, both of which have their roots in disabled activism and the social model of disability, have given rise to a whole new subfield, disability sexuality studies. Transforming the future of (dis/abled) sexualities hinges on the notion that sex and disability are malleable, pliable, and quite often multifarious. Disabled people cannot, and must not, create a “dismodern” world on their own. They must continue to build coalitions, coalitions across disability, across various sexual and racial/ethnic minorities, and with their (often) privileged “nondisabled” allies. Researchers, activists, and artists need to work together to dispel powerful myths about the dominant arenas in which sexuality is performed.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Immigrants, Refugees, and Asylum Seekers: The Psychosocial Cost of War on CiviliansGo to chapter: Immigrants, Refugees, and Asylum Seekers: The Psychosocial Cost of War on Civilians

    Immigrants, Refugees, and Asylum Seekers: The Psychosocial Cost of War on Civilians

    Chapter

    The U.S. Citizenship and Immigration Services (USCIS; 2016c) under the U.S. Department of Homeland Security delineates the complex law and path to citizenship as it relates to immigrants, refugees, and asylum seekers. The etiology of the worldwide epidemic of immigrants, refugees, and asylum seekers is clear. It is war that is at the foundation of all human suffering as millions are forced to relocate geographically. This epidemic of person-made disaster points to the overall lack of respect and empathy for human life perpetrated by brutal governments, religious zealots, and other indigenous tribal warring groups. Disaster mental health responders who commit to work with specific indigenous populations of global cultures require a much different approach to provide culturally sensitive interventions and strategies. This chapter offers some guidelines to mental health professionals to begin working globally with the new culture of immigrants, refugees, and asylum seekers.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • History of Treatment Toward Persons With Psychiatric DisabilitiesGo to chapter: History of Treatment Toward Persons With Psychiatric Disabilities

    History of Treatment Toward Persons With Psychiatric Disabilities

    Chapter

    The chapter explores the history from the middle ages to the present day, noting the trials and tribulations of a population that continues to remain poorly understood and misperceived by the general public. Conditions for people with psychiatric disabilities did not fare much better in the American colonies. Similar to the circumstances during the Middle Ages, care for this population was the family’s responsibility if they had a family to care for them. Moral treatments began to decline in the second half of the 19th century in favor of somatic therapies and behavioral control techniques. Although psychiatrists initially scoffed at the notion that the quality of the care they provided in mental hospitals was subpar, research was conducted in the treatment of mental illness that brought about improvements. Physicians continued to develop and work toward improvement of somatic treatments for psychiatric disabilities in the early part of the 20th century.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Psychological Adaptation to Chronic Illness and Disability: A Primer for CounselorsGo to chapter: Psychological Adaptation to Chronic Illness and Disability: A Primer for Counselors

    Psychological Adaptation to Chronic Illness and Disability: A Primer for Counselors

    Chapter

    This chapter provides the reader with an overview of (a) the dynamics (i.e., process) of psychosocial adaptation to chronic illness and disabilities (CID), (b) methods commonly used to assess psychosocial adaptation to CID, and (c) intervention strategies applied to people with CID. The chapter groups the psychosocial adaptation to CID under three headings: basic concepts such as stress, loss and grief, and quality of life, CID-triggered reactions, and CID-related coping strategies. The literature on CID-related coping strategies is vast. The chapter describes only a cursory overview of the most commonly reported strategies, directly related to coping with CID. It first briefly discusses the concept of coping and illustrates its relevance to CID. Over the past half century, a large number of measures of psychosocial adaptation to and coping with CID have been reported in the literature. The chapter reviews only those psychometrically sound measures most frequently reported in the literature.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Reflections and ConsiderationsGo to chapter: Reflections and Considerations

    Reflections and Considerations

    Chapter

    In this chapter, the book’s editors, Marini and Stebnicki presents a compelling and provocative reflection on the counseling profession. They summarize salient aspects of dealing with culture and disability that reflect how services are provided in an evidence-based practice environment. Each editor offers opinions and considerations for counseling professionals in the 21st century. Together, they hypothesize an inconvenient and potentially frightening future for Americans, particularly those of lower socioeconomic status, many of whom are minorities with disabilities. The chapter explores the ramifications of social class and classism, whereby social injustice perpetuates and exacerbates classism. In particular, Marini and Stebnicki call on counselors and related helping professionals to take a more active role in advocating beyond their traditional narrowly focused job duties of working almost exclusively with the client to adapt and survive in an able-bodied world.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Application of Well-Being Therapy to People With Disability and Chronic IllnessGo to chapter: Application of Well-Being Therapy to People With Disability and Chronic Illness

    Application of Well-Being Therapy to People With Disability and Chronic Illness

    Chapter

    There is power in revisiting the underlying foundational principles of our past and looking at how they can inform our present and future functioning. This chapter looks back at the historic foundational principles of rehabilitation psychology (RP) and shows the links to current research on the psychology of well-being and explores implications for providing meaningful interventions that could improve the lives of persons with disability and chronic illness. It reviews how positive psychology (PP) approaches have been used for people with disabilities (PWD), presents an overview of the development and structure of well-being therapy (WBT), including a literature review, and then demonstrates how it could be applied to people with spinal cord injury (SCI). The chapter concludes with a discussion of the broader implications for utilizing these approaches more widely in RP as well as a cautionary note.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Risk and Resilience in Military Families Experiencing Deployment: The Role of the Family Attachment NetworkGo to chapter: Risk and Resilience in Military Families Experiencing Deployment: The Role of the Family Attachment Network

    Risk and Resilience in Military Families Experiencing Deployment: The Role of the Family Attachment Network

    Chapter

    This chapter presents a family attachment network model to describe the adaptation of military families during the stress of deployment and their adjustment during the reintegration process. The family attachment network consists of multiple relationships existing at multiple system levels (e.g., individual, dyadic, subsystem, and system-wide interaction patterns), each of which has rules and attributes that are distinct and do not exist at other levels, yet are inextricably intertwined with other levels and the larger system. Similarly, within the family system, each attachment relationship is unique, such that a child’s attachment behaviors toward different caregivers can vary, siblings can demonstrate different attachment strategies with the same caregiver, and parent child attachment relationships often diverge from spousal attachment patterns. A central assumption of the proposed model is that attachment relationships and family systems are fundamental contexts for risk and resilience between military members and their families during the deployment cycle.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Family Issues in Illness and DisabilityGo to chapter: Family Issues in Illness and Disability

    Family Issues in Illness and Disability

    Chapter
    Source:
    The Psychological and Social Impact of Illness and Disability
  • Counseling in the Context of Family IdentityGo to chapter: Counseling in the Context of Family Identity

    Counseling in the Context of Family Identity

    Chapter

    Identity arises out of the sum of our experiences. This chapter traces the developmental concept of identity through its manifestations at different levels of community, revealing a complex and systemic context for rehabilitation counseling. Each level of identity (personal, social, and collective) denotes a potential point of counseling exchange with the family. The authors of this chapter consider family identity in relation to disability and interaction with the community. They discuss personal identity versus family identity and social identity within a social movement. The McMaster model of family functioning and the three dominant tasks of family are explored as are the International Classification of Functioning, Disability and Health (ICF; World Health Organization, 2001) domains of health conditions, activities and participation, and functions affected. Finally, the chapter presents methods of family coping (both negative and positive strategies), family resiliency, and strategies that counselors can use to effectively assist families.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Models of Disability: Implications for the Counseling ProfessionGo to chapter: Models of Disability: Implications for the Counseling Profession

    Models of Disability: Implications for the Counseling Profession

    Chapter

    The conceptualization of disability as an attribute located solely within an individual is changing to a paradigm in which disability is thought to be an interaction among the individual, the disability, and the environment. This chapter draws both theoretical and practice implications, which may assist practitioners and educators in gaining a clearer understanding of counseling clients who have disabilities, from four broad models of disability. Intended as a broad overview of the major models and an introductory discussion of ways in which these models can affect the profession of counseling, the chapter presents several different ways of conceptualizing the experience of disability. The four broad models are: (a) the biomedical model, (b) the functional model, (c) the environmental model, and (d) the sociopolitical model. The functional model and the environmental model are presented together because both are interactive models; stated differently.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Classifying Functioning, Disability, and Health: The ICFGo to chapter: Classifying Functioning, Disability, and Health: The ICF

    Classifying Functioning, Disability, and Health: The ICF

    Chapter

    The International Classification of Functioning, Disability and Health (ICF; World Health Organization [WHO], 2001), and its predecessors the International Classification of Impairments, Disabilities and Handicaps (ICIDH and ICIDH - 2; WHO, 1980, 1999) have been influential in the conceptualization of the construct of disability in the United States and internationally for more than three decades. This chapter begins with a brief overview of the history of classification of health and illness, and the role that different conceptualizations of disability have played along the way. It then reviews the development of the ICF within the context of these conceptualizations and introduces its key concepts, conceptual framework, and a brief orientation to its use. It concludes with consideration of the current and future impact of the ICF on conceptualizing psychological and social aspects of illness and disability.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Treatment for Substance Use DisordersGo to chapter: Treatment for Substance Use Disorders

    Treatment for Substance Use Disorders

    Chapter

    Substance abuse treatment programs and clinical counseling approaches are designed to treat a variety of substance use disorders (SUDs). Treatment approaches may include a combination of medical (e.g., pharmacotherapy) and psychosocial approaches. Counselors apply a variety of evidence-based treatments, counseling theories, and approaches to substance abuse problems. With continued care, successive treatments, and continual monitorng, individuals with SUDs can increase the interval between abusive episodes until the individual achieves either full abstinence or more responsible substance use, as well as a more stable life-fulfilling recovery. Successful long-term recovery requires the adoption of a healthy lifestyle and continued mindfulness that SUDs can rear their ugly heads if one becomes distressed or negligent in maintaining life-enhancing attitudes, beliefs, and behaviors. With patience, persistence, tolerance, empathy, and compassion, counselors can help individuals and their families successfully recover from this devastating and potentially life-threatening disorder.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • History of Treatment Toward Persons With Disabilities in AmericaGo to chapter: History of Treatment Toward Persons With Disabilities in America

    History of Treatment Toward Persons With Disabilities in America

    Chapter

    This chapter reviews the history of treatment toward people with disabilities (PWDs) in the United States. Early immigration literature and the apparent attitudes and treatment toward PWDs, as well as certain other immigrant populations, were blatantly prejudiced and discriminatory. Antidisability sentiment became more evident with immigration restriction, which began as early as the development of the first North American settlements. The eugenics movement essentially died down after World War II, primarily because of Social Darwinism and the Nazi extermination of an estimated 250,000 German citizens and war veterans with disabilities. The survival-of-the-fittest concept and natural selection in the 21st century appear to have morphed into a survival of the financially fittest ideology. With the aging of America and millions of baby boomers moving into their golden years, the financial portfolios of these individuals dictate what the quality of their lives will be, like at no time before in American history.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Theories of Adjustment and Adaptation to DisabilityGo to chapter: Theories of Adjustment and Adaptation to Disability

    Theories of Adjustment and Adaptation to Disability

    Chapter

    This chapter explores one of the most profound and important empirical questions that researchers have regarding the psychological and sociological impact of disability: How do persons with disabilities react to their situation, and why do some actually excel, whereas others become indefinitely incapacitated both mentally and physically? The chapter explores seven common theories of adaptation to a traumatic physical disability. Some proposed theories have stronger evidence-based empirical support, whereas others rely on more qualitative and case study accounts, as well as clinical observation. The chapter first explores persons born with a congenital disability, and questions whether such individuals actually experience any type of adjustment process since they have no preinjury, nondisabled experience with which to compare their situation. It then explores the seven theories of adjustment: stage models, somatopsychology, the disability centrality model, ecological models, recurrent or integrated model, transactional model of coping, and chaos theory.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Family CaregivingGo to chapter: Family Caregiving

    Family Caregiving

    Chapter

    Family caregiving and support are perhaps the most essential elements in their disabled loved ones’ adjustment for response to disability. This chapter first explores the prevalence of caregiving in America, including demographic information about who the typical caregiver is and what the situational circumstances are for these individuals. It is followed by providing a definition of the types of caregiving support generally provided by loved ones, as well as the nuanced differences between unpaid family care versus paid formal care. This segues into a brief exploration into the significant family role caregiving entails and its impact on each member. The chapter then discusses caregiver abuse as well as the often painful decision to place a loved one in a long-term care facility. Finally, it explores strategies for counselors to be able to support family caregivers in caring for their loved one while maintaining their own mental and physical health needs.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • New Directions: Issues and PerspectivesGo to chapter: New Directions: Issues and Perspectives

    New Directions: Issues and Perspectives

    Chapter
    Source:
    The Psychological and Social Impact of Illness and Disability
  • Psychosocial Counseling Aspects of Grief, Death, and DyingGo to chapter: Psychosocial Counseling Aspects of Grief, Death, and Dying

    Psychosocial Counseling Aspects of Grief, Death, and Dying

    Chapter

    The skills of working with the psychosocial aspects of grief, death, dying, and loss are essential, particularly in working with persons who have acquired chronic illness and disability. This chapter helps elucidate important psychosocial issues in death and dying as it relates to how individuals experience and express grief within the context of the person’s physical, psychological, cognitive, emotional, social, cultural, and spiritual well-being. Recognition in the new Diagnostic and Statistical Manual of Mental Disorders (DSM- 5) of the Persistent Complex Bereavement Disorder diagnostic category provides legitimacy for the individual’s sense of loss and mourning based on multiple events related to death and dying. It is essential that counselors address such psychosocial concerns clients because of the added therapeutic value and ethical obligation to guide the individual and his or her family in important decisions regarding death and dying.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Culture, Family, and Attitudes Toward DisabilityGo to chapter: Culture, Family, and Attitudes Toward Disability

    Culture, Family, and Attitudes Toward Disability

    Chapter

    The United States continues to grow in population, particularly among persons of minority. With the statistics in mind, it becomes all the more relevant for counselors to be knowledgeable and prepared to work with the growing populations in relation to their values, culture, family dynamics, and ultimately how they view and treat their disabled members. This chapter represents a synopsis of six different groups; Hispanic or Latino Americans, African Americans, Asian Americans, Middle Eastern Americans, European Americans, and Native Americans. It presents a synopsis of each specific group’s culture, cultural and family perspectives on disability, socioeconomic factors, and religion. Involving the entire family and not just the client can assist counselors to establish a relationship of trust that can be meaningful for the counselor-client relationship. Cultural competence has been known to be an important component in receiving school psychological services for Arab American youth and their families.

    Source:
    The Psychological and Social Impact of Illness and Disability
  • Human Rights in PhiladelphiaGo to article: Human Rights in Philadelphia

    Human Rights in Philadelphia

    Article

    Background

    Inherent to the principles of human rights, all persons are entitled to such rights regardless of geographic location. Yet, social work's commitment to the person-in-environment perspective demands that location be considered in practice.

    Objective

    This article details an elective course focused on human rights within the city of the campus' location.

    Methods

    Using the frames of Freire (1970), Bronfenbrenner (2004), and the living classroom (Lane et al., 2017), content centers on local people, organizations, and social justice movements.

    Results

    A study abroad at home format is introduced as a form of immersion learning for nontraditional students interested in human rights within the local context.

    Conclusion

    A review of the course development and suggestions are provided for designing similar courses.

    Source:
    Urban Social Work
  • Reflexivity, Ethics, and Divergent Perspectives: A Transformational Journey of Social Work EducatorsGo to article: Reflexivity, Ethics, and Divergent Perspectives: A Transformational Journey of Social Work Educators

    Reflexivity, Ethics, and Divergent Perspectives: A Transformational Journey of Social Work Educators

    Article

    Using classroom vignettes, this article portrays the experiences of four White social work educators with minority-view inclusion and conflict management that is a result of divergent perspectives in the classroom. The use of reflexivity is explored as a strategy for understanding educators' biases and assumptions in teaching. In addition, the National Association of Social Workers (NASW) Code of Ethics is applied as it refers to helping social work students learn to think critically to meet the needs and rights of clients and to address social inequalities, diversity, privilege, and oppression. The authors provide recommendations based on their experiences and reflections.

    Source:
    Urban Social Work
  • Differences in Discrimination Experiences Among Homeless and Nonhomeless YouthGo to article: Differences in Discrimination Experiences Among Homeless and Nonhomeless Youth

    Differences in Discrimination Experiences Among Homeless and Nonhomeless Youth

    Article

    Objective

    Youth experiencing homelessness (YEH) are at an increased risk from their housed counterparts for a multitude of mental and physical health issues. This article addresses disparities in discrimination experiences among homeless and housed low-income youth in an effort to understand more about the specific vulnerabilities of homeless youth.

    Methods

    Data were collected from 47 homeless youth at two different drop-in centers in New York City (NYC) and 36 nonhomeless, low-income first-year college students.

    Results

    YEH (M = 4.51, standard deviation [SD] = 3.20) reported more than twice the level of average total experiences of discrimination than youth who were not homeless (M = 2.14, SD = 2.2), t (79) = 3.81, p = .005).

    Conclusions

    Implications for social work practitioners, educators, and researchers are discussed.

    Source:
    Urban Social Work
  • Mixed Methods Evaluation of a Mindful Movement Program to Improve Mental Health in Urban High School StudentsGo to article: Mixed Methods Evaluation of a Mindful Movement Program to Improve Mental Health in Urban High School Students

    Mixed Methods Evaluation of a Mindful Movement Program to Improve Mental Health in Urban High School Students

    Article

    Objective

    This study reports on a mixed methods evaluation of a Mindful Movement (MM) program for mental health outcomes in an urban high school during the 2017–2018 school year. The MM program had been previously designed and implemented several years prior to this evaluation.

    Methods

    Students were randomly assigned to participate in either the MM group or a health class (comparison group) at the start of the school year. The MM program ran for 5 days a week for 18 weeks as part of the high school curriculum. Quantitative measures were administered at the beginning of the program and at the end of the semester, and included measures of mood, self-esteem, mindfulness, perceived stress, and self-regulation.

    Results

    At pretest, the MM group fared significantly worse than the health group in confusion, vigor, and emotional regulation, which were not detected at posttest. However, there were also no significant differences between groups from pretest to posttest, or significant improvement from pre- to posttest for the MM group. The qualitative results demonstrate that the students did make improvement in the targeted outcomes.

    Conclusion

    The results of this study provide qualitative evidence that the program helped students in several areas of functioning. The quantitative results suggest that the skills and tools learned in the program may serve as protective measures against decline in functioning. The discrepancies between findings are discussed with implications for future research and program development.

    Source:
    Urban Social Work
  • Introduction to the Special Issue: Ubuntu—I Am Because We Are!Go to article: Introduction to the Special Issue: Ubuntu—I Am Because We Are!

    Introduction to the Special Issue: Ubuntu—I Am Because We Are!

    Article
    Source:
    Urban Social Work
  • The Association of Racial and Homelessness Microaggressions and Physical and Mental Health in a Sample of Homeless YouthGo to article: The Association of Racial and Homelessness Microaggressions and Physical and Mental Health in a Sample of Homeless Youth

    The Association of Racial and Homelessness Microaggressions and Physical and Mental Health in a Sample of Homeless Youth

    Article

    Background:

    Homeless youth are at higher risk for trauma, school dropout, justice system involvement as well as physical and mental health issues, including substance abuse.

    Objective:

    This article focuses on experiences of microaggressions, or subtle forms of discrimination, in homeless youth by describing the development of a new scale measuring homelessness microaggressions and demonstrating the association between microaggressions, and health/well-being in a sample of homeless youth.

    Methods:

    Previously validated measures include the Child Behavioral Checklist and the Racial and Ethnic Microaggressions Scale.

    Findings:

    Demonstrated that experiencing higher levels of microaggressions was related to more externalizing and aggressive behavior and somatic symptoms in homeless youth.

    Conclusions:

    Implications for urban communities and urban social work are discussed, with suggestions offered for practitioners and future research.

    Source:
    Urban Social Work
  • Developing Leaders, Building Collaborations, and Addressing Social Justice: One Historically Black College and University's ExperienceGo to article: Developing Leaders, Building Collaborations, and Addressing Social Justice: One Historically Black College and University's Experience

    Developing Leaders, Building Collaborations, and Addressing Social Justice: One Historically Black College and University's Experience

    Article

    To address the challenges present in urban communities and develop social work leaders who are equipped to confront a myriad of social and economic justice issues, Coppin State University established the Dr. Dorothy I. Height Center for the Advancement of Social Justice (DHC). Housed in the Department of Social Work, the DHC is a community-based resource whose mission is to heighten awareness regarding national and international human rights and social justice issues that impact marginalized communities. The DHC utilizes social work interns who focus on community engagement as operationalized via social justice–related advocacy, research and education initiatives. This article will highlight the experiences of these student interns and the impact of the internship on their development in the areas of social justice and leadership.

    Source:
    Urban Social Work
  • Capturing Context: The Role of Social Support and Neighborhood on the Psychological Well-Being of African American FamiliesGo to article: Capturing Context: The Role of Social Support and Neighborhood on the Psychological Well-Being of African American Families

    Capturing Context: The Role of Social Support and Neighborhood on the Psychological Well-Being of African American Families

    Article

    Background

    Mental health is a serious public health concern that is uniquely devastating for African American families.

    Objective

    This study systematically critiques the body of work documenting the mediating role of social support and neighborhood context on the psychological well-being of African American families.

    Methods

    This review used the PRISMA multistate process.

    Findings

    Several important findings are drawn from this study: a) social support and neighborhood context shape psychological well-being, b) existing studies are limited in capacity to capture context despite having contextualized frameworks, c) African centered theory is missing.

    Conclusions

    Social support and neighborhood context matter. Future researchers must employ methods to capture this context and the link to mental health in African American communities where disproportionate risks exist.

    Source:
    Urban Social Work
  • History, Truth, and Social JusticeGo to article: History, Truth, and Social Justice

    History, Truth, and Social Justice

    Article
    Source:
    Urban Social Work
  • Case Management and Employment Training Outcomes for Welfare-Reliant African American and Latinx Women Heads of HouseholdGo to article: Case Management and Employment Training Outcomes for Welfare-Reliant African American and Latinx Women Heads of Household

    Case Management and Employment Training Outcomes for Welfare-Reliant African American and Latinx Women Heads of Household

    Article

    Background

    Case management has historically been a pillar in the social work profession, and has never been more pertinent than it is with recipients of the federal program, Temporary Assistance to Needy Families. There is a chasm of biblical proportions, however, when the case management ideals are compared with the realities “on the ground.”

    Objective

    The study examines welfare-reliant women heads of household (N = 30) to assess their experiences and outcomes in a welfare-to-work program designed to prepare them for employment opportunities.

    Methods

    A purposive sample was used for data collection and included longitudinal survey analysis. A Structured Interview Schedule Welfare-to-Work Success Index (WSI) were the primary data collection instruments.

    Findings

    Fifty-seven percent of the respondents were African American and 43% were Latinx women. The mean age of the African American and Latinx cohorts were 32.7 and 37.5, respectively. The vast majority of both groups were single heads of household. Sixty percent of the African American women were high school graduates versus 39% of the Latinx women. Twelve of the original 30 respondents found a job, with the African American cohort faring slightly better, in terms of salary, work hours, and duration of employment. Fringe benefits were not received by any of the study respondents who succeeded in finding employment.

    Conclusions

    Respondents had an unusually high number of case managers assigned to them, with limited success in finding meaningful jobs. Implications are discussed regarding case manager training, retention, the effectiveness of interventions with welfare-reliant clientele, and accountability.

    Source:
    Urban Social Work
  • What Is Safety to You? Determining an Inductive Conceptualization of Neighborhood Safety Through Centering the Voices of Community ResidentsGo to article: What Is Safety to You? Determining an Inductive Conceptualization of Neighborhood Safety Through Centering the Voices of Community Residents

    What Is Safety to You? Determining an Inductive Conceptualization of Neighborhood Safety Through Centering the Voices of Community Residents

    Article

    Background

    Inductive explorations of neighborhood safety are a notable gap in neighborhood effects research. Thus, the current study explores resident definitions of safety and safety threats in urban, suburban, and rural communities.

    Objective

    To reveal urban residents’ phenomenological conceptualizations of neighborhood safety and perceptions of law enforcement as a safety support and/or a safety threat.

    Methods

    The researchers conducted semi-structured focus groups with community residents across three counties to gather evidence of what makes them feel safe and unsafe in their communities.

    Findings/Conclusions

    Thematic analysis generated five themes of what makes residents feel safe, what they perceived are safety threats, and what they believe law enforcement officers do to promote safety. The article concludes with implications for urban social work practice and research.

    Source:
    Urban Social Work
  • Teaching While Black and Male and Preparing Students for Urban Social Work Practice MattersGo to article: Teaching While Black and Male and Preparing Students for Urban Social Work Practice Matters

    Teaching While Black and Male and Preparing Students for Urban Social Work Practice Matters

    Article

    This article unpacks the pedagogical reflections of a Black male professor, bringing attention to issues associated with teaching while Black and preparing students for urban social work practice. The article asserts that contemporary forms of injustice cannot be understood without grasping critical historical analyses of race and racism in the United States. Ideas related to critical race theory, racial oppression, and social identities are explored. Finally, the article explicates the importance for students to become comfortable talking about racism and racial injustice in the context of working with clients.

    Source:
    Urban Social Work
  • Expanding Strengths-Based Urban Social Work: Distinctive Approaches to Serving Diverse CommunitiesGo to article: Expanding Strengths-Based Urban Social Work: Distinctive Approaches to Serving Diverse Communities

    Expanding Strengths-Based Urban Social Work: Distinctive Approaches to Serving Diverse Communities

    Article
    Source:
    Urban Social Work
  • EditorialGo to article: Editorial

    Editorial

    Article
    Source:
    Urban Social Work
  • Hispanic-Serving Institutions: Vehicles of Upward Mobility, Drivers of Transformative ChangeGo to article: Hispanic-Serving Institutions: Vehicles of Upward Mobility, Drivers of Transformative Change

    Hispanic-Serving Institutions: Vehicles of Upward Mobility, Drivers of Transformative Change

    Article
    Source:
    Urban Social Work

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