Monday, April 1, 2019
The Concept Of Evidence Based Practice Social Work Essay
The Concept Of Evidence Based Practice Social lead EssayIntroductionThis essay aims to identify and critically appraise indorse of whether sociable preventative correct vector sum for falloff in British Pakistani women. I give analyse whether cordial intervention corporation lead to improve genial wellbeing, empowerment and individual growth. I will analyse the value emphasis of therapeutic mixer support in mental health. The stage setting of tender bring in perpetrate in mental health is complex, thence neighborly invent intervention has to book an good and value based framework. I will assess the theory-based buns for standardise institutionalise. The statutory changes in Britain to consider the fundamental values placement incorporated in recent policies and legislation will be examined. demarcate the concept of turn up based put onEvidence based consecrate (EBP) according to Sackett (1997) citied in Gray et al (2009 119) connotes a transit of up(p) p rofessional judgement through the conscientious and judicious integration and discount of well- looked empirical induction to evaluate the efficacy and effectualness of intervention in enhancing do users outcomes and how this can be integrated into come context to improve aid delivery and professional enumerateability (Department of Health Service and customary Safety, 2012) (Gray, Plath, Webb, 2009) (Sheppard, 2004) (Corby, 2006). It gives a framework for analysing the situation and generating a number of possible options (Thompson N., 2000, p. 35). (Mathews Crawford, 2011) suggested that practitioners essential think critically and reflect on research induction for credibility, completeness and transferability to assure professional judgement as this an implication for policy makers, professionals, communities and process users.The nerve impulse for EBP in spite of appearance brotherly work is underpinned on the centrality on service users trounce interest to gui de practice that is heathenishly excitable and of significance to service users within the dynamic context of practice, legislation and social policy (Bolton, 2002). EBP so necessitates social workers reflexivity of how values, suppositious assumptions, policies, past bangs and the context in which practice takes place combine with service users status, preferences, and culture to guide and propound practice (Munro, 200210). This is to account for the multi viewed personal, cultural and social dimensions of service users (Webber Nathan, 2010)Select an feeling of social workWhat interest me in this topic is the falling out which live in providing culturally sensitive support to obtuse and ethnic nonage group with falling off. The evidence available suggest that individual with mental health distress including slump ar the most marginalised and excluded groups in society (Stepney Ford, 2001). Additionally, the preponderance of depression in b insufficiency and minorit y ethnic (BME) and in particular proposition women from Pakistani background in Britain, underlines the importance of supporting statutory and involuntary initiatives directed towards meeting their needs (Husain, Creed, Tomenson, 1997) (Gater, et al., 2009). (Miranda, et al., 2003) noteworthy the gap in evidence based for social intervention.Drawing on their practice experiences and charm evidenceWithin the context of community voluntary mental health services, their various(a) types of evidence that informs practice and policy and social workers have an ethical arrangement in the choice of theories and modeling of working.In my practice, a systems approach is emphasized in understanding the interplay and multiplicity of service users context. Psychodynamic approach is concerned with how perceptions of needs, grime and stereotypical assumptions motivate human behaviour including care seek, disclosure of sensitive information. Past experiences are seen as central in the c apers individual experience and used in understanding the dynamics of the helping similitudeship.Social learn possibility suggests behaviours are influenced by service users socio-cultural context. For example help seeking behaviour is influenced and reinforced by stigma and service delivery indeed cognitive- behavioural therapy is emphasised by understanding the role perceptions in help seeking. Therefore through interaction, modelling service users perception is influenced.Conflict theory is invaluable in understanding cultural conflicts, stigma and oppression, power imbalance.As noted in Saleeby (1996) the strength perspective is intrinsic to social work values of service users involvement, and respecting individual as having strengthsThe feminist perspective takes into account the role of gender and the historical lack of power experienced by women. Collaborative relationship is emphasised between the social worker and service user through equality and empowerment.Through emp irical observation victimization randomised controlled trial, Gater, et al (2010) investigated the effective of Social intervention for British Pakistani women with depression. It sought to explain the cause and effect, to predict and control reality, and to create evident objective truth that can be proven or disproved to inform the effectiveness of intervention and policies implementation.Qualitative data used to understand individuals social reality within their socio- cultural context which questions cultural assumptions, discrimination and oppression and the implication and significance in implementation. This can be used to believe service users perspective regarding intervention and polices implications, their needs and perceptions about current polices and interventions.The problem solving model focuses on understanding service users in their context and working in confederation.In a cross sectional study, prevalence of depression amongst women of Pakistani origin was tw ice as mellow equality to white European women (Gater, et al., 2009).(Campbell McLean, 2002) suggested that social capital resources is embedded in within social networks and improve recovery. An alternative explanatory framework for the prevalence of depression in Pakistani women in mental health statistics has been the social reconstructive perspective. This perspective encompasses help seeking behaviour.There are some show based interventions that have been proven to help people recovery from depression. The disarrange control trial study by (Harris, Brown, Robinson, Befriending as an intervention for inveterate depression among women in an inner city Randomised control trail, 1999) open that befriending schemes are beneficial in improving recovery.This is to counter the criticisms of institutional racialism and cultural assumptions in the delivery of mental health services to sinister and ethnic minority groups (Gould, 2010). Phillip Rack (1982) cited in (Gould, 2010) 40 proposed a culturally attuned approach that used insightThis intervention is central to social work values of respecting and valuing singularity and diversity and recognising and building strengths. Social intervention involves aspects of partnership and include and emphasis on the rival of environmental insistings on individuals and on that pointfore can be invaluable in anti-discriminatory work with service users in offering empowerment and dealing with structural oppression (Ahmad B. , 1990, p. 51). He excessively noted the importance of importance of qualitative research in exploring these issues (Ahmad W. , 1995). This social intervention included specific target groups. It uses an approach that included rearing and/or direct contact with people who are depressed.Social intervention provides social workers with a structural appreciation of the nature of social problems (Gould, 2010, p. 60)(Harris, 2010) social support and depressionReconnection of hope through therapeuti c encounterPsychosocial and cognitive therapies have now been included in clinical practice guidelines. However, there remain considerable problems with black and ethnic minority accessing these services.Research has shown a consistent relationship between mental illness and indicators of social disadvantages (Fryers, Melzer, Jenkins, 2003). Thus, increase of strategies to support help seeking and treatment is needed.(Mathews Crawford, 2011)(Orme Shemmings, 2010)(Smith, 2004)(Gask, Aseem, Waquas, Waheed, 2011) qualitative thematic summary (social isolation) family conflict, social cultural factors, psychosocial factorsIdentify what can be learned from the evidenceIn Gater,et al (2010) Social intervention for British Pakistani women with depression randomised controlled trial, Participants social procedure and depression were signicantly improved. Given the prevalence of depression (Gater, et al., 2009) in this group and the under-representation amongst people able to access s upportive services, this presents an great development.In relation to improving participants engagement qualitative studies have set in motion the debilitating effect of stigma as a signicant restriction for accessing support (Livingston Boyd, 2010) (Mak, Poon, Pun, Cheung, 2007). Stigma is understood as the interplay of individuals social identity and socio-cultural dynamics in which individuals with mental health are discriminated against and socially excluded due to stereotypical assumption (Lam, 2008). This nding is consistent with the evidence regarding social support interventions in (Harris, A stress-vunerability model of mental health disorder implications for practice, 2010). However, there is a gap of how stigma associated with mental illness can be reduced.The study was of high research quality, which indicates a reduced risk of biasness and confounding. A major boundary of this study is heterogeneity amongst the sample, that only 123 participants and increase in so cial functioning is limited to only 3 months. Therefore, the medium to long-term effects of social intervention within this group remain largely unknown. Another research gap is the absence of a dynamic medication adherence related studies aimed at this group, which have been identied as important for achieving adherence and disclose outcome for depression (Miranda, et al., 2003).Addressing the resistance from family members around issue of confidentiality and stigma amongst this commonwealth may be best accomplished through culturally appropriate communication strategies that facilities warm and empathy and social capital. In contrast, the research suggests that social intervention although it improves depression in the short run will not hand meaningful improvements in the long run without antidepressant.(Department of Health, 2007) emphasises partnership working, respect for diversity, strengths and aspirations and service users centred. Its focus on effectiveness, accountabil ity and personal development are congruent with the principles of evidence based practice.(Slade, 2009) noted that personal recovery is a contend and contested concept within the domain of empirical evidence. The multi facet level of mental illness is evident in the definition of mental health, the impact of treatment and the social consequences. However, (Resnick, Fontana, Lehman, RA, 2005) highlighted that empowerment, hope and optimism, knowledge and life satisfaction outcome that are central to the recovery model allows the prevalence of recovery to be investigated by trial and error. (Gould, 2010)As stated in (Gater, et al., 2009), an epidemiology of depression that accounts for social support and social difficulties is critical. Social context of depressionNonetheless, depression is associated with important negative consequences, such as social exclusion, low self-esteem.Social exclusion according to (Hills, LeGrand, Piachaud, 2004)should be conceptualise in the context of the personal, cultural and structural dimension and highlighted lack of social interaction as a form of social exclusion.Attuned to cultural beliefs and normsSocial and inclusive practice have been developed and reinforced by the Capabilities for Inclusive Practice (Department of Health , 2007) report working in partnership, respecting diversity. sound judgment requires service users participation and access to information to make informed choice. This model of mind has to be cultural sensitive and proactive in nature.Psychosocial assessmentAlthough social support is frequently referred to as beneficial in relation to depression, there has been little attempt to specify what this means and to evaluate the effectiveness of interventions to reduce isolation.(Tew, 2004) Partnership working is crucial in adopting a social model of intervention. Culturally sensitive practice.(Gater, Waheed, Husain, Tomenson, Aseem, Creed, 2010)(Webber W. , 2011)Research indicates that (Oakley, Stran ge, Toroyan, Wiggins, Roberts, Stephenson, 2003)Mental health is practice within a context of multi-disciplinary collaboration to integrate the bio-psychosocial model of practice. The implementation of EBP within this context has to account for the theoretical assumptions that underpin this area of practice. This involves knowledge and supervision. Research by (Huxley, et al., 2005) indicated stress of workers as accounting for their lack of implementing EBP. noted that another reason for EBP not been implemented is due to stereotypical assumptions that black and ethnic minorities prefer informal support than support from professional.One barrier to effective assessment and intervention for depression epidemiologyAnother barrier is the vacillation of ethnic minority group to share their ruttish symptoms due to family pressure and perceive stigma. To overcome these barriers, social intervention that accounts for social capital is crucial.EBP hence requires practice that is need s not resources leads if services are to be provided that are of sound professional judgement.Perceptions about depression and stigma have been empirically supported in experimental, cross-sectional and longitudinal studies to worsen depression and involve interpersonal outcome and social support (Thomsen, 2006).Analysis and reflective process of data collection, the transparencies about the relational nature of the research, and the ways which service users perspective are constructed through a respectful partnership and reflexivity of how our values, theoretical assumptions, policies, past experiences and the context in which practice takes place.Trust and openness in research relationship a reciprocal processright- based analytic approach (Department of Health, 2008) ethical and critical engage that with respectful uncertainties that reflect on the process of engagement and analysisMutual and sincere collaboration, over sentencerespectful uncertaintiesUsing triune data source s to account for publication biasness and multiple perspectives and ways of knowingAcknowledgement of complexities of realitiesUse of reflexivity focus on contexts of and relationships between researcher and researched as shaping the creation of knowledge. Ethical attachment in knowledge(Gask, Aseem, Waquas, Waheed, 2011) understanding how symptoms are expressed and perceive. Understanding emotional expressiveness within cultural context.ConclusionIn conclusion, social intervention has highlighted strategies that have demonstrated some success for improving help seeking.Given the complexities and multi facet dimension of individual experiences and the context in which needs occurs, it is imperative that the uniqueness of individual is taken into account within the paradigm of culturally equal practice (Dalrymple and Burke, 2006). In addition, Social Work practice draws on theoretical knowledge from social sciences, which are usually Eurocentric, it is essential, that Social Work practice integrate knowledge from best evidence for it to meet it ethical pledge to counter oppressive and discriminatory practice (Thompson N. , 2003) (Webber W. , 2011).(Thompson N. 2003)
Subscribe to:
Post Comments (Atom)
No comments:
Post a Comment