Irwin Epstein
- Published in print:
- 2009
- Published Online:
- May 2010
- ISBN:
- 9780195335521
- eISBN:
- 9780199777433
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195335521.001.0001
- Subject:
- Social Work, Research and Evaluation
Clinical data-mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making, ...
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Clinical data-mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making, and practitioner reflection. Depending upon the type of data mined, CDM can be qualitative or quantitative; it is generally retrospective, but may be meaningfully combined with original data collection. Any research method that relies on the contents of case records or information systems data inevitably has limitations, but with proper safeguards these can be minimized. Among CDM's strengths however, are that it is unobtrusive, inexpensive, presents little risk to research subjects, and is ethically compatible with practitioner value commitments. When conducted by practitioners, CDM yields conceptual as well as data-driven insight into their own practice- and program-generated questions. This book covers all the basics of conducting practitioner-initiated CDM studies or CDM doctoral dissertations, drawing extensively on published CDM studies and completed CDM dissertations from multiple social work settings in the United States, Australia, Israel, Hong Kong, and the United Kingdom. In addition, it describes consulting principles to help with forging collaborative university-agency CDM partnerships.
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Clinical data-mining (CDM) involves the conceptualization, extraction, analysis, and interpretation of available clinical data for practice knowledge-building, clinical decision-making, and practitioner reflection. Depending upon the type of data mined, CDM can be qualitative or quantitative; it is generally retrospective, but may be meaningfully combined with original data collection. Any research method that relies on the contents of case records or information systems data inevitably has limitations, but with proper safeguards these can be minimized. Among CDM's strengths however, are that it is unobtrusive, inexpensive, presents little risk to research subjects, and is ethically compatible with practitioner value commitments. When conducted by practitioners, CDM yields conceptual as well as data-driven insight into their own practice- and program-generated questions. This book covers all the basics of conducting practitioner-initiated CDM studies or CDM doctoral dissertations, drawing extensively on published CDM studies and completed CDM dissertations from multiple social work settings in the United States, Australia, Israel, Hong Kong, and the United Kingdom. In addition, it describes consulting principles to help with forging collaborative university-agency CDM partnerships.
Sharon B. Berlin
- Published in print:
- 2002
- Published Online:
- January 2009
- ISBN:
- 9780195110371
- eISBN:
- 9780199865680
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195110371.001.0001
- Subject:
- Social Work, Health and Mental Health
This is a book about how people change their minds and how mental health practitioners can help this process along. It addresses a gap in the literature on cognitive therapy that results ...
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This is a book about how people change their minds and how mental health practitioners can help this process along. It addresses a gap in the literature on cognitive therapy that results from an almost exclusive focus on the constructed aspects of personal meaning, and a lack of attention to the ways in which information that we pick up from life circumstances also influences what we know, feel, and do. Conceptions that ignore the role that current life conditions and interpersonal events play in creating or revising meanings limit the utility of cognitive therapy approaches for clients whose lives are marked by ongoing deprivation, threat, and vulnerability. In laying out a broader perspective, a Cognitive-Integrative perspective, the book expands the internal focus of traditional cognitive therapies to take more account of the role of information generated by environmental events and conditions in impeding or promoting change. It contends that mind draws on organized memories of previous experiences as well as currently available information to generate cognitive, emotional, and behavioral responses. The theoretical grounding for this perspective is drawn from a range of cognitive, neurological, social, psychological, and social work theories. Theoretical explanations are laid out. They are balanced with practice guidelines and grounded in an offering of clinical examples.
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This is a book about how people change their minds and how mental health practitioners can help this process along. It addresses a gap in the literature on cognitive therapy that results from an almost exclusive focus on the constructed aspects of personal meaning, and a lack of attention to the ways in which information that we pick up from life circumstances also influences what we know, feel, and do. Conceptions that ignore the role that current life conditions and interpersonal events play in creating or revising meanings limit the utility of cognitive therapy approaches for clients whose lives are marked by ongoing deprivation, threat, and vulnerability. In laying out a broader perspective, a Cognitive-Integrative perspective, the book expands the internal focus of traditional cognitive therapies to take more account of the role of information generated by environmental events and conditions in impeding or promoting change. It contends that mind draws on organized memories of previous experiences as well as currently available information to generate cognitive, emotional, and behavioral responses. The theoretical grounding for this perspective is drawn from a range of cognitive, neurological, social, psychological, and social work theories. Theoretical explanations are laid out. They are balanced with practice guidelines and grounded in an offering of clinical examples.
Melvin Delgado
- Published in print:
- 1999
- Published Online:
- January 2009
- ISBN:
- 9780195125467
- eISBN:
- 9780199864188
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195125467.001.0001
- Subject:
- Social Work, Communities and Organizations
Community social work practice based on a capacity enhancement model offers tremendous potential for unifying communities consisting of groups from very different cultural backgrounds, ...
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Community social work practice based on a capacity enhancement model offers tremendous potential for unifying communities consisting of groups from very different cultural backgrounds, and in the process of doing so, make physical changes in the community. This book emphasizes community and urban social work and explains how to create positive community environments in marginalized urban-based communities. The use of murals, gardens, playgrounds, and sculptures, for example provide social workers with an opportunity to identify, engage, and plan services with communities. These projects, in turn, are based upon a community's strengths and represent an effort at developing a community's capacity to help itself with assistance from professionals.
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Community social work practice based on a capacity enhancement model offers tremendous potential for unifying communities consisting of groups from very different cultural backgrounds, and in the process of doing so, make physical changes in the community. This book emphasizes community and urban social work and explains how to create positive community environments in marginalized urban-based communities. The use of murals, gardens, playgrounds, and sculptures, for example provide social workers with an opportunity to identify, engage, and plan services with communities. These projects, in turn, are based upon a community's strengths and represent an effort at developing a community's capacity to help itself with assistance from professionals.
Barbara J. Burns, Kimberly Hoagwood (eds)
- Published in print:
- 2002
- Published Online:
- January 2009
- ISBN:
- 9780195134575
- eISBN:
- 9780199864065
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195134575.001.0001
- Subject:
- Social Work, Health and Mental Health, Communities and Organizations
This book presents innovative interventions for youth with severe emotional and behavioral disorders. The book is designed to fill a gap between the knowledge base and clinical practice ...
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This book presents innovative interventions for youth with severe emotional and behavioral disorders. The book is designed to fill a gap between the knowledge base and clinical practice through its presentation of theory, practice parameters, training requirements, and research evidence. Featuring community-based and state-of-the-art services for youth with severe emotional and behavioral disorders and their families, this book describes each intervention in depth, along with the supporting evidence for its utility. Most chapters present a single intervention as an alternative to institutional care. Shared characteristics of these interventions include delivery of services in the community (homes, schools, and neighborhoods) provided largely by parents and paraprofessional staff. The interventions are appropriate to use in any of the child human services sectors and have been developed in the field with real-world child and family clients. In addition, they offer a reduced cost in comparison to institutional care. Several chapters address diagnostic-specific psychosocial and psychopharmacological treatments, which are likely to be provided as adjunctive treatment in a clinical setting.
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This book presents innovative interventions for youth with severe emotional and behavioral disorders. The book is designed to fill a gap between the knowledge base and clinical practice through its presentation of theory, practice parameters, training requirements, and research evidence. Featuring community-based and state-of-the-art services for youth with severe emotional and behavioral disorders and their families, this book describes each intervention in depth, along with the supporting evidence for its utility. Most chapters present a single intervention as an alternative to institutional care. Shared characteristics of these interventions include delivery of services in the community (homes, schools, and neighborhoods) provided largely by parents and paraprofessional staff. The interventions are appropriate to use in any of the child human services sectors and have been developed in the field with real-world child and family clients. In addition, they offer a reduced cost in comparison to institutional care. Several chapters address diagnostic-specific psychosocial and psychopharmacological treatments, which are likely to be provided as adjunctive treatment in a clinical setting.
Michael G. Vaughn, Carrie Pettus-Davis, Jeffrey J. Shook
- Published in print:
- 2012
- Published Online:
- May 2012
- ISBN:
- 9780199782857
- eISBN:
- 9780199949663
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199782857.001.0001
- Subject:
- Social Work, Research and Evaluation, Communities and Organizations
The growth of the criminal justice system poses a number of significant problems that require ongoing research efforts by scholars across multiple disciplines. Despite the impact that ...
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The growth of the criminal justice system poses a number of significant problems that require ongoing research efforts by scholars across multiple disciplines. Despite the impact that the criminal justice system has on client populations served by social workers and related professions, there are few practical sources available to guide research in these settings. Conducting Research in Juvenile and Criminal Justice Settings: Strategies and Issues fills this gap and represents a cutting-edge yet user friendly book that will be of interest not only to researchers but also to graduate students and agency administrators. This book covers major issues in conducting field research with adults and juveniles and using extant and administrative data sources on criminal justice populations. In particular, the chapters explore the many challenges that often arise in criminal justice settings and offer practical strategies to issues such as how to gain and maintain
IRB approval, how to manage a project across multiple agencies, courts, and institutions, and how to maintain relationships with key stakeholders. Furthermore, discussion of issues related to planning a research project in adult and juvenile justice settings, including research designs, recruitment, and retention, are delineated. An extensive bibliographic description of data sources, case studies, and research forms and letters is included.
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The growth of the criminal justice system poses a number of significant problems that require ongoing research efforts by scholars across multiple disciplines. Despite the impact that the criminal justice system has on client populations served by social workers and related professions, there are few practical sources available to guide research in these settings. Conducting Research in Juvenile and Criminal Justice Settings: Strategies and Issues fills this gap and represents a cutting-edge yet user friendly book that will be of interest not only to researchers but also to graduate students and agency administrators. This book covers major issues in conducting field research with adults and juveniles and using extant and administrative data sources on criminal justice populations. In particular, the chapters explore the many challenges that often arise in criminal justice settings and offer practical strategies to issues such as how to gain and maintain
IRB approval, how to manage a project across multiple agencies, courts, and institutions, and how to maintain relationships with key stakeholders. Furthermore, discussion of issues related to planning a research project in adult and juvenile justice settings, including research designs, recruitment, and retention, are delineated. An extensive bibliographic description of data sources, case studies, and research forms and letters is included.
Donna Harrington
- Published in print:
- 2008
- Published Online:
- January 2009
- ISBN:
- 9780195339888
- eISBN:
- 9780199863662
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195339888.001.0001
- Subject:
- Social Work, Research and Evaluation
Measures that are reliable, valid, and can be used across diverse populations are vital to social work research, but the development of new measures is an expensive and time-consuming ...
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Measures that are reliable, valid, and can be used across diverse populations are vital to social work research, but the development of new measures is an expensive and time-consuming process. An array of existing measures can provide a cost-effective alternative, but in order to take this expedient step with confidence, researchers must ensure that the existing measure is appropriate for the new study. Confirmatory factor analysis (CFA) is one of the ways to do so. CFA has four primary functions—psychometric evaluation of measures, construct validation, testing method effects, and testing measurement invariance. This book provides an overview of the method, step-by-step guides to creating a CFA model and assessing its fit, and explanations of the requirements for using CFA, as well the book underscores the issues that are necessary to consider when using multiple groups or equivalent and multilevel models. Real-world examples, screenshots from the Amos software program that can be used to conduct CFA, and reading suggestions for each chapter form part of the book.
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Measures that are reliable, valid, and can be used across diverse populations are vital to social work research, but the development of new measures is an expensive and time-consuming process. An array of existing measures can provide a cost-effective alternative, but in order to take this expedient step with confidence, researchers must ensure that the existing measure is appropriate for the new study. Confirmatory factor analysis (CFA) is one of the ways to do so. CFA has four primary functions—psychometric evaluation of measures, construct validation, testing method effects, and testing measurement invariance. This book provides an overview of the method, step-by-step guides to creating a CFA model and assessing its fit, and explanations of the requirements for using CFA, as well the book underscores the issues that are necessary to consider when using multiple groups or equivalent and multilevel models. Real-world examples, screenshots from the Amos software program that can be used to conduct CFA, and reading suggestions for each chapter form part of the book.
Douglas J. Besharov, Kenneth A. Couch (eds)
- Published in print:
- 2012
- Published Online:
- September 2012
- ISBN:
- 9780199860586
- eISBN:
- 9780199932948
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199860586.001.0001
- Subject:
- Social Work, Social Policy, Children and Families
The poverty rate is one of the most visible ways in which nations measure the economic well-being of their low-income citizens. To gauge whether a person is poor, European states often ...
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The poverty rate is one of the most visible ways in which nations measure the economic well-being of their low-income citizens. To gauge whether a person is poor, European states often focus on a person's relative position in the income distribution to measure poverty while the United States looks at a fixed-income threshold that represents a lower relative standing in the overall distribution to gauge. In Europe, low income is perceived as only one aspect of being socially excluded, so that examining other relative dimensions of family and individual welfare is important. This broad emphasis on relative measures of well-being that extend into non-pecuniary aspects of people's lives does not always imply that more people would ultimately be counted as poor. This is particularly true if one must be considered poor in multiple dimensions to be considered poor, in sharp contrast to the American emphasis on income as the sole dimension. The book provides detailed discussions of specific issues from a European perspective followed by commentary from American observers. The volume considers current standards of poverty measurement in the European Union and the Organization for Economic Co-operation and Development, challenges in extending those measures to account for the value of the provision of in-kind and cash benefits from the government, the interaction of poverty measures with social assistance, non-income but monetary measures of poverty, and multi-dimensional measures of poverty.
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The poverty rate is one of the most visible ways in which nations measure the economic well-being of their low-income citizens. To gauge whether a person is poor, European states often focus on a person's relative position in the income distribution to measure poverty while the United States looks at a fixed-income threshold that represents a lower relative standing in the overall distribution to gauge. In Europe, low income is perceived as only one aspect of being socially excluded, so that examining other relative dimensions of family and individual welfare is important. This broad emphasis on relative measures of well-being that extend into non-pecuniary aspects of people's lives does not always imply that more people would ultimately be counted as poor. This is particularly true if one must be considered poor in multiple dimensions to be considered poor, in sharp contrast to the American emphasis on income as the sole dimension. The book provides detailed discussions of specific issues from a European perspective followed by commentary from American observers. The volume considers current standards of poverty measurement in the European Union and the Organization for Economic Co-operation and Development, challenges in extending those measures to account for the value of the provision of in-kind and cash benefits from the government, the interaction of poverty measures with social assistance, non-income but monetary measures of poverty, and multi-dimensional measures of poverty.
Jorge Delva, Paula Allen-Meares, Sandra L. Momper
- Published in print:
- 2010
- Published Online:
- May 2010
- ISBN:
- 9780195382501
- eISBN:
- 9780199777419
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195382501.001.0001
- Subject:
- Social Work, Research and Evaluation
The purpose of the book is to provide researchers with a framework to conduct research in a culturally sensitive manner with individuals, families, and communities in diverse cultural ...
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The purpose of the book is to provide researchers with a framework to conduct research in a culturally sensitive manner with individuals, families, and communities in diverse cultural settings in the United States, as well as in a global context within the context of three aims: (1) To understand and describe the nature and extent to which a particular problem occurs; (2) To understand the etiology or potential factors associated with the occurrence of a particular problem; (3) To evaluate programs or interventions designed to ameliorate or eliminate a problem. For each of these three aims, applications of different research methods with various population groups are discussed with considerable detail. The work presented falls into different sides of the emic–etic continuum, with some studies taking a more emic perspective (i.e., Chapter 2, a mixed methods study with American Indian populations), others presenting more of an etic approach (i.e., Chapter 3, a multicountry study of drug use in Central America), and yet others presenting an emic–etic distinction that is less salient (i.e., Chapters 4–6, a longitudinal studies of ecological factors and drug use in Santiago, Chile; a longitudinal study of ecological factors and PTSD in the City of Detroit; and a randomized clinical trial and community-based participatory research project both also conducted in Detroit). Two central themes that guided this work are that culture is not static, rather it is fluid and changing, and that cross-cultural researchers should avoid making sweeping generalizations that risk taking on essentialist characteristics. The book concludes with a call for anyone conducting cross-cultural research to include an intersectionality lens, one that encompasses a broader range of multiple identities, into their work.
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The purpose of the book is to provide researchers with a framework to conduct research in a culturally sensitive manner with individuals, families, and communities in diverse cultural settings in the United States, as well as in a global context within the context of three aims: (1) To understand and describe the nature and extent to which a particular problem occurs; (2) To understand the etiology or potential factors associated with the occurrence of a particular problem; (3) To evaluate programs or interventions designed to ameliorate or eliminate a problem. For each of these three aims, applications of different research methods with various population groups are discussed with considerable detail. The work presented falls into different sides of the emic–etic continuum, with some studies taking a more emic perspective (i.e., Chapter 2, a mixed methods study with American Indian populations), others presenting more of an etic approach (i.e., Chapter 3, a multicountry study of drug use in Central America), and yet others presenting an emic–etic distinction that is less salient (i.e., Chapters 4–6, a longitudinal studies of ecological factors and drug use in Santiago, Chile; a longitudinal study of ecological factors and PTSD in the City of Detroit; and a randomized clinical trial and community-based participatory research project both also conducted in Detroit). Two central themes that guided this work are that culture is not static, rather it is fluid and changing, and that cross-cultural researchers should avoid making sweeping generalizations that risk taking on essentialist characteristics. The book concludes with a call for anyone conducting cross-cultural research to include an intersectionality lens, one that encompasses a broader range of multiple identities, into their work.
Mo Yee Lee, Amy Zaharlick
- Published in print:
- 2013
- Published Online:
- January 2013
- ISBN:
- 9780199846597
- eISBN:
- 9780199315918
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780199846597.001.0001
- Subject:
- Social Work, Research and Evaluation, Communities and Organizations
This book provides a practical, step-by-step, hands-on guide for social work researchers, doctoral students, and professionals who are interested in conducting culturally competent ...
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This book provides a practical, step-by-step, hands-on guide for social work researchers, doctoral students, and professionals who are interested in conducting culturally competent research with diverse populations and groups. This book adopts ethnography as a meta-framework for conducting culturally competent research. Since its inception as an academic discipline, anthropology has developed theories, concepts, methods, and a significant body of substantive studies for the purposes of guiding cultural research, describing cultural groups and processes, and providing data needed for cross-cultural research and theory-building. Ethnography as a meta-framework for research suggests the following components of culturally competent research: (1) A collaborative social relationship with the study group and community; (2) Use of firsthand, long-term participant observation; (3) Use of self as research instrument; (4) Researcher as learner; (5) A contextual view of phenomena; (6) A holistic perspective; (7) An interactive-reactive research process; (8) A cross-cultural frame of reference; and (9) A spirit of discovery. This pocket guide describes each phase of research incorporating these components from framing and designing the study; to data collection, management, and analysis; to final analysis and report writing; and to dissemination to a variety of audiences. Inclusion of these elements ensures that the research is conducted with and close to the lived experience of the study groups. Culturally Competent Research provides a methodological framework for developing a rigorous social work knowledge base for research in an increasingly diverse and global society. Culturally competent research will help the social work profession understand the lived experiences of diverse populations, which will in turn help to shape social work practice and policy to the benefit of all.
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This book provides a practical, step-by-step, hands-on guide for social work researchers, doctoral students, and professionals who are interested in conducting culturally competent research with diverse populations and groups. This book adopts ethnography as a meta-framework for conducting culturally competent research. Since its inception as an academic discipline, anthropology has developed theories, concepts, methods, and a significant body of substantive studies for the purposes of guiding cultural research, describing cultural groups and processes, and providing data needed for cross-cultural research and theory-building. Ethnography as a meta-framework for research suggests the following components of culturally competent research: (1) A collaborative social relationship with the study group and community; (2) Use of firsthand, long-term participant observation; (3) Use of self as research instrument; (4) Researcher as learner; (5) A contextual view of phenomena; (6) A holistic perspective; (7) An interactive-reactive research process; (8) A cross-cultural frame of reference; and (9) A spirit of discovery. This pocket guide describes each phase of research incorporating these components from framing and designing the study; to data collection, management, and analysis; to final analysis and report writing; and to dissemination to a variety of audiences. Inclusion of these elements ensures that the research is conducted with and close to the lived experience of the study groups. Culturally Competent Research provides a methodological framework for developing a rigorous social work knowledge base for research in an increasingly diverse and global society. Culturally competent research will help the social work profession understand the lived experiences of diverse populations, which will in turn help to shape social work practice and policy to the benefit of all.
Sandra L. Bloom, Brian Farragher
- Published in print:
- 2010
- Published Online:
- January 2011
- ISBN:
- 9780195374803
- eISBN:
- 9780199865420
- Item type:
- book
- Publisher:
- Oxford University Press
- DOI:
- 10.1093/acprof:oso/9780195374803.001.0001
- Subject:
- Social Work, Health and Mental Health
This book describes what happens to human service delivery programs under the impact of unrelenting stress and multiple losses. Never perfect places of safety in the ...
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This book describes what happens to human service delivery programs under the impact of unrelenting stress and multiple losses. Never perfect places of safety in the first place, many social services of every size, shape, and variety are collapsing under over thirty years of system fragmentation even while public costs have escalated dramatically. The result is that important places of refuge–of sanctuary–for the children, adults, and families who have been exposed to the greatest amount of adversity and trauma, are struggling to provide even the most minimally adequate services. We believe that at this point, our social service network is functioning as a trauma-organized system still largely unaware of the multiple ways in which adaptation to chronic stress has created a state of dysfunction that in many cases virtually prohibits the recovery of the individual clients who are the source of the underlying and original organizational missions, while damaging many of the people who work within it. Just as the encroachment of trauma into the life of an individual client is an insidious process that turns the past into a nightmare, the present into a repetitive cycle of re-enactment, and the future into a terminal illness, the impact of chronic strain on an organization is insidious. As seemingly logical reactions to difficult situations pile upon each other, no one is able to truly perceive the fundamentally skewed and post-traumatic basic assumptions upon which that logic is built. As an earthquake can cause the foundations of a building to become unstable, even while the building still stands, apparently intact, so too does chronic repetitive stress or sudden traumatic stress destabilize the cognitive and affective foundations of shared meaning that is necessary for a group to function and stay whole. The goal of this book is a practical one: to provide the beginnings of a coherent framework for organizational staff and leaders to more effectively provide trauma-informed care for their clients by becoming trauma-sensitive themselves. This means becoming sensitive to the ways in which all human beings and human systems are impacted by individual and collective exposure to overwhelming stress.
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This book describes what happens to human service delivery programs under the impact of unrelenting stress and multiple losses. Never perfect places of safety in the first place, many social services of every size, shape, and variety are collapsing under over thirty years of system fragmentation even while public costs have escalated dramatically. The result is that important places of refuge–of sanctuary–for the children, adults, and families who have been exposed to the greatest amount of adversity and trauma, are struggling to provide even the most minimally adequate services. We believe that at this point, our social service network is functioning as a trauma-organized system still largely unaware of the multiple ways in which adaptation to chronic stress has created a state of dysfunction that in many cases virtually prohibits the recovery of the individual clients who are the source of the underlying and original organizational missions, while damaging many of the people who work within it. Just as the encroachment of trauma into the life of an individual client is an insidious process that turns the past into a nightmare, the present into a repetitive cycle of re-enactment, and the future into a terminal illness, the impact of chronic strain on an organization is insidious. As seemingly logical reactions to difficult situations pile upon each other, no one is able to truly perceive the fundamentally skewed and post-traumatic basic assumptions upon which that logic is built. As an earthquake can cause the foundations of a building to become unstable, even while the building still stands, apparently intact, so too does chronic repetitive stress or sudden traumatic stress destabilize the cognitive and affective foundations of shared meaning that is necessary for a group to function and stay whole. The goal of this book is a practical one: to provide the beginnings of a coherent framework for organizational staff and leaders to more effectively provide trauma-informed care for their clients by becoming trauma-sensitive themselves. This means becoming sensitive to the ways in which all human beings and human systems are impacted by individual and collective exposure to overwhelming stress.