Social worker attitudes towards recovery among people with serious mental illness

Item

Title
Social worker attitudes towards recovery among people with serious mental illness
Identifier
d_2009_2013:5a9f18048e5b:10902
identifier
11195
Creator
Kram-Fernandez, Debra,
Contributor
Harriet Goodman
Date
2011
Language
English
Publisher
City University of New York.
Subject
Social work | Mental health | Attitudes | Beliefs | Knowledge | Psychiatric Rehabilitation | Recovery Perspective | Social Workers
Abstract
Growing numbers of researchers are studying mental health practitioners' adoption of the Recovery Perspective and its operational model, Psychiatric Rehabilitation. However, they have not studied social workers, even though they provide the majority of services to seriously mentally ill consumers (SMI). This study examined social worker's practices, goals, and adoption of the Recovery Perspective and Psychiatric Rehabilitation. From a random sample of 3,000 National Association of Social Work (NASW) New York State members, 441 completed paper and pencil surveys that included two measures, the Recovery Knowledge Inventory (Bedregal, Davidson & O'Connell, 2006) and the Psychiatric Rehabilitation: Beliefs, Goals and Practices Scale, (Casper & Oursler, 2003). The majority of subjects (67%) worked with SMIs for over ten years. Only 21% reported employment in restrictive settings including in-patient, day hospital, or continuing day treatment; over 100% reported primary or secondary employment in less restrictive settings including clinics, private practice, or other. Sixty-one percent had a close friend or family member with SMI. Pluralities reported subscribing to a psychodynamic (42%) or cognitive-behavioral (47%) theoretical frame of reference.;I found a high level of positive response consistent with the Psychiatric Rehabilitation and Recovery Perspectives. Those who selected "Other" as their theoretical framework endorsed the models more than those who selected "Psycho-dynamic." Private practitioners were less likely to endorse the models; those working in Continuing Day Treatment Program were more likely to endorse them. Sub-scales in the two instruments suggested that New York State NASW social workers embraced the ideals of both models, but were less likely to practice in recovery-oriented ways.;In New York State, social workers adhere to model's ideals, but may not practice according to their principles. Those more inclined to practice from these principles were not in mainstream treatment roles, but employed approaches that are more flexible. Social workers in clinics, where New York State promotes this type of treatment, were least likely to practice this way. Implications for social work education are profound, since schools are the locus of professional preparation. Particularly since younger workers were less likely to endorse the models, current educational practices appear inconsistent with regulatory regulations.
Type
dissertation
Source
2009_2013.csv
degree
D.S.W.
Program
Social Welfare