SNHU Qualitative Findings and Social Work Interventions Discussion

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Discussion: Qualitative Findings and Social Work Interventions

Evidence-based social work practice calls for the use of research data to guide the development of social work interventions on the micro, mezzo and/or macro-levels. Kearney (2001) described ways qualitative research findings can inform practice. Qualitative findings can help social workers understand the clients’ experiences and “what it may feel like” (Kearney, 2001). Therefore, social workers can develop clinical interventions that take into account the experiences of their clients. Qualitative findings can also help social workers monitor their clients. For example, if after reading a qualitative study on how domestic violence survivors respond to stress, they can monitor for specific stress behaviors and symptoms (Kearney, 2001). In addition, they can educate their client what stress behaviors to look for and teach them specific interventions to reduce stress (Kearney, 2001)

Given the increasing diversity that characterizes the landscape in the United States, social workers need to take into account culture when formulating interventions. Social workers can utilize qualitative findings to plan interventions in a culturally meaningful manner for the client.

To prepare for this Discussion, read Knight et al.’s (2014) study from this week’s required resources. Carefully review the findings, the photographs, and how the researchers wrote up the findings. Finally, review the specific macro-, meso-, and micro-oriented recommendations.

Then read Marsigilia and Booth’s article about how to adapt interventions so that they are culturally relevant and sensitive to the population the intervention is designed for. Finally, review the chapter written by Lee et al. on conducting research in racial and ethnic minority communities.

By Day 3

Post the following:

  1. Using one of the direct quotes and/or photos from Knight et al.’s study, analyze it by drawing up a tentative meaning. Discuss how this would specifically inform one intervention recommendation you would make for social work practice with the homeless. This recommendation can be on the micro, meso, or macro level.
  2. Next, explain how you would adapt the above practice recommendation that you identified so that it is culturally sensitive and relevant for African Americans, Hispanics, or Asian immigrants. (Select only 1 group). Apply one of the cultural adaptations that Marsigilia and Booth reviewed (i.e., content adaption to include surface and/or deep culture, cognitive adaptations, affective-motivational adaptations, etc.)(pp. 424-426). Be as specific as you can, using citations to support your ideas.

By Day 5

Respond to at least 2 of your colleagues and elaborate on their recommendations for cultural adaptation with the group they identified. For example, you might discuss a merit or limitation of the cultural adaptation that your colleague proposed. Or you might suggest an alternative application of one of Marsigilia and Booth’s cultural adaptation.

Colleague 1: Katherine

Post the following:

Using one of the direct quotes and/or photos from Knight et al.’s study, analyze it by drawing up a tentative meaning. Discuss how this would specifically inform one intervention recommendation you would make for social work practice with the homeless. This recommendation can be on the micro, mezzo, or macro level.

“Living in an SRO, when compared to living in other housing environments, has been associated with higher rates of HIV infection, emergency room use, recent incarceration, having been physically assaulted, crack cocaine smoking, and cocaine, heroin, and methamphetamine injection” (Knight et al., p 2).

The meaning of this direct quote informs me that those using single-room occupancy hotels as a form of housing are individuals that most likely have extreme trauma in their backgrounds require the knowledge of professionals to get to the root of their problems. This would specifically inform an intervention recommendation for social work practice with the homeless by implementing trauma-informed care. “In non-trauma-informed SRO environments women reported on-going fear and anxiety, sleep deprivation and hyper-vigilance” (Knight et al., p 9).

Next, explain how you would adapt the above practice recommendation that you identified so that it is culturally sensitive and relevant for African Americans, Hispanics, or Asian immigrants. (Select only 1 group). Apply one of the cultural adaptations that Marsigilia and Booth reviewed (i.e., content adaption to include surface and/or deep culture, cognitive adaptations, affective-motivational adaptations, etc.) (pp. 424-426). Be as specific as you can, using citations to support your ideas.

Trauma-informed practice can be tailored to the population in which you are working with, for example the Hispanic population. In working with the Hispanic population, the use of cognitive adaption would be considered because some of the cultural aspects are different than the typical average individual. “Cognitive adaptations are considered when participants cannot understand the content that is being presented due to language barriers or the use of information that is not relevant in an individual’s cultural frame” (Marsiglia & Booth, p 426). When addressing details of the intervention, aspects may not be applicable and therefore create a negative reaction or be offensive to the Hispanic culture creating another barrier to treatment. Religion plays a large role in the Hispanic culture, as well as family and the roles in which each person plays within a family. All of these things can change the way that an intervention is presented in order to be respectful and provide the best treatment options for your client.

References

Knight, K. R., Lopez, A. M., Comfort, M., Shumway, M., Cohen, J., & Riley, E. D. (2014). Single room

occupancy (SRO) hotels as mental health risk environments among impoverished women: the intersection of policy, drug use, trauma, and urban space. The International journal on drug policy, 25(3), 556–561. https://doi.org/10.1016/j.drugpo.2013.10.011

Marsiglia, F. F., & Booth, J. M. (2015). Cultural Adaptation of Interventions in Real Practice

Settings. Research on Social Work Practice, 25(4), 423–432. https://doi.org/10.1177/1049731514535989

Colleague 2: Keisha

1. Using one of the direct quotes and/or photos from Knights et al.’s study analyze it by drawing up a tentative meaning. Discuss how you would specifically inform one intervention recommendation you would make for social work practice with the homeless. This recommendation can be on the micro, mezzo, or macro level.

One direct quote that I chose for this discussion falls under the Mezzo and Micro section which explains how the environment influences mental health. It states that women with co-occurring mental health and substance abuse problems have severe life challenges (Knight, 2014). One woman spoke on her person experiences and traumas. She explained how her environment impacted her mental stability. This woman stated: “I discovered that my environment had a lot to do with my mental state, so when I had my own place I was in control of the environment. There was no drama, everything was nice and mellow, and I was able to function. It was when other people and situations were introduced to my environment that sent me on edge” (Knight, 2014).

The text is basically explaining how this particular woman was able to function in society, but was triggered once the wrong situations and people started to influence her, and she was not able to escape from it. These triggers were now all apart of her environment and eventually took over her life as a result caused her to indulge in the wrong things and negatively impacted her mental well being (Knight, 2014). Supported housing could succeed in a cost effective manner, even if all problematic aspects of the drug/sex economy are not abated, as long as the built environments are designed with sensitivity toward the mental health vulnerabilities of tenant, clean and well managed (Knight, 2014). The interventions I would recommend would be trauma therapy along with cognitive behavior therapy for these women in hopes to help with their mental and substance abuse issues.

2. Explain how you would adapt the above practice recommendation that you identified so that it is culturally sensitive and relevant for African Americans, Hispanics, or Asian immigrants. (Select Only One Group). Apply one of the cultural adaptations that Marsigilia and Booth reviewed (i.e., content adaption to include surface and/or deep culture, cognitive adaptations, affective-motivational adaptations, etc.)

Social work ethics gives guidance to all social workers in regards to providing culturally competent practice and to implement interventions with the possible evidence of efficacy (Marsiglia, & Booth, 2015). Social work and other helping professions have attempted over time to integrate culture of origin into the interventions applied with ethnic minorities and other vulnerable communities in the United States and globally (Marsiglia, & Booth, 2015). A prevention intervention for a Latino parents found that assimilated, highly educated Latino parents were responsive to prevention interventions presented to them. Cultural adaptation is an advantage because it allows the social worker to work on culture specific risk factors and build on identified protective factors. In regards to Latino families different rates of acculturation between parents and youth appear to be a risk for substance use and delinquency among youth and family based interventions may be culturally relevant (Marsiglia, & Booth, 2015)

References

Knight, K.R., Lopez, A.M., Comfort, M., Shumway, M., Cohen, J., & Riley, E.D. (2014). Single room occupancy (SRO) hotels as mental health risk environments among impoverished women: The intersection of policy, drug use, trauma, and urban space. International Journal of Drug Policy, 25(3), 556-561.

Marsiglia, F.F. & Booth, J.M. (2015). Cultural adaptations of intervention in real practice settings. Research on Social Work Practice, 25(4), 423-432.

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