Connect with us
  • Advertisement
  • News

    Rothman Report Inspires a Student Led Movement

    Published

    on

    In 2012, Dr. Jack Rothman, a prominent author and academic, issued a report on the current state of social work macro practice. The study identified barriers in schools of social work which have shown a steady decline in social work engagement with community organizing, policy making, and political activism.

    Macro Social Work Student Network (MSWSN) received the Student Recognition award from the Association for Social Administration and Community Organization (ACOSA), and I was chosen to lead the expedition to see how we can reinvigorate and shift social workers back into policy makers. I left New York City to go on a fact finding mission in the mid-west in order to collect data and identify concerns from students and academics on the state of macro practice curricula within their universities. I visited four schools of social work which was the University of Texas at Austin, University of Utah, Arizona State University, and Northern Arizona University.

    MSWSN

    Macro Social Work Student Network

    This humbling honor reflects not just the potential of students to affect macro education, but the need for us to be advocates. Anxious to hit the road and meet my colleagues at other schools, I took another look at the Rothman Report which is essential reading for any social worker and especially the macro social worker.  The following findings of the Report manifested themselves during my trip:

    • There is limited integration of macro with micro in the curriculum
    • Macro courses are neglected or marginalized
    • Students are not encouraged to choose a macro program or are deflected to clinical practice
    • There is lack of student interest in or knowledge of macro 
    • Field placements are lacking or problematic
    • Licensure requires many micro courses and leads to little macrocontent

    The Macro Social Work Student Network (MSWSN) is a student-driven organization that has been forming campus chapters for macro education advocacy. In turn, this leads to better macro practitioners and healthier communities because social worker are trained to influence policy shifts in order to help improve outcomes for children and families.

    Micro level social work is primarily dedicated to clinicians who provide treatment to the individual and/or family. In recent years, social work has shifted from its social justice roots, and it has moved towards the perception of a mental health provider or a child welfare worker.

    In my opinion, the profession is dangerously incomplete without macro practitioners organizing in communities, leading and administrating vital agencies, drafting policies, constructing programs for healthier society, and more. Galvanized by the barriers facing macro education, student are working together across the country and in their schools to enhance macro education. On my journey, I met with students and professors to learn more about why they think enhanced macro education is imperative to the social welfare.

    Perhaps, it was in the 1980s when the decline in macro education begin to shift. By the 1990’s, a paltry “2.9 to 4.5%” of masters-level students focusing on policy and political involvement according to the Rothman Report. In June, the Network held an event on the current state of macro education with Dr. Loretta Pyles and Dr. Scott Harding presenting on the 2012 Rothman Report.

    The Rothman Report added validity to what students were already feeling in their schools which equated to macro education students being underserved. Amazingly, campus chapters have been springing from Massachusetts, Texas to California, and it is reminiscent of “an earlier period [when] grassroots activism and political campaigns were a vibrant aspect of the emerging social work field” (Rothman, 2013).

    University of Texas-Austin

    At the University of Texas-Austin, I encountered two impassioned MSW students, Elise Fleming and Jessa Glick who led me to Professor Duncan’s classroom. Professor Duncan asserted, “As an educator and social work practitioner I believe robust macro education is critical to fulfilling our profession’s commitment to social justice.  We cannot achieve true social justice one client at a time.” He continued, “To be truly effective social work education must include a strong foundation in macro practice for all students and specific skill development for those students that want to focus on macro practice.  One of the true tenets of macro practice is grassroots organizing and empowerment. I am excited to see the potential of MSWSN to help students learn those skills and strengthen macro practice!”

    Ms. Glick made the statement, “I think of macro education as siloed. I don’t see clinical and macro as separate, but curricula enforce a false binary that they are. MSWSN is giving students a chance to collaborate and share experiences.” She continued, “MSWSN allows for sharing of information and innovations/trends within macro social work programs with a space for dialogue. Most importantly, the student voice has a professional platform.”

    A few days later I received a message that UT-Austin would start a chapter and focus on assessing the school’s macro curriculum using MSWSN’s assessment survey.

    Arizona State University and North Arizona University

    The next day, I made my way to the Land of Enchantment at Arizona State University, where I met Judy Krysik’s Program Planning in Social Services class in Phoenix and Nick Taras’ at the Tuscon campus. Assistant Professor David Androff regarded this “as a huge opportunity for ASU social work students.”  ASU’s Policy, Administration, and Community Practice (PAC) students expressed many concerns that would be echoed up north in Dr. Anne Medill’s BSW macro course at Northern Arizona University (NAU).

    NAU students, limited by an undergraduate generalist curriculum, threw up their hands with questions such as:

    • Other than what was described, what else is macro social work?
    • What sort of job can I get as a macro practitioner?
    • What about the licensing?
    • Can I actually be a social worker who writes policy?
    • How can we get more macro classes in here?

    These are real questions that social work students face across the country and not enough are getting the answers they need. Students are feeling disempowered and misguided by an abundance of myths, misinformation, and mere separation from the facts in order to make intelligent decisions about their social work careers. Ultimately, both the student and our communities suffer.

    University of Utah

    At the University of Utah, I spoke both with MSW students in Dr. Lindsay Gezinski’s class and in a general information session, each organized by BSW students Carlos Rivera and Rick Reimann. Although Utah only offers a clinical track, students still have macro practice concentration option. One student, Katheryn Dennet stated,

    “I see great value in understanding and participating in macro level social work. Systematic change requires many minds – including clinicians – to provide information for our clients. Too often we feel powerless and if we communicate this to our clients we will have done them a great disservice. Learning how to work at the macro level as a clinician is empowering and a crucial part of the social work education. MSWSN’s presentation made me, for the first time, feel excited about a clinician’s role in a large macro setting.”

    The Rothman Report

    Dr. Rothman started the “Action Recommendations” section of the Report with the following statement:

    “There was a strong sentiment for increasing the visibility of the macro area and advocating for its greater status and importance in the field. The major institutions identified as key to attaining this objective are CSWE (in particular), schools and departments, and NASW. These emerge as the core target groups of an action program. Additional targets are the general public, related professions and disciplines, and social work scholarly organizations”

    With this statement, I interpret its meaning as stating student involvement in schools and departments of social work is an inherent necessity for the growth of macro practice. While I encourage collaboration with CSWE and the NASW, the development of solutions to barriers to growth in macro education must begin with student action.

    As I reflect on my journey, I realized there is more work to be done with MSWSN than before I left, and student sentiments are clear. We want enhanced macro education, and we’re determined to work for it. The development and growth of MSWSN provides an opportunity to facilitate and advocate for the advancement of macro practice. Increased advocacy has the ability to influence schools to produce more and better-skilled macro practitioners which will enhance policy initiative to improve communities.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime

    Andrew Calderaro is completing his Master of Social Work in Community Organizing, Planning, and Development at the Silberman School of Social Work at Hunter College and is also exploring doctoral options. He can be reached at CalderaroAndrew@Gmail.com. To learn more about MSWSN, its School Organizing Program, and to be involved, visit www.MSWSN.org or email the Network at MSWSNetwork@Gmail.com

    Health

    Study Shows Immune Cells Against Covid-19 Stay High in Number Six Months After Vaccination

    Published

    on

    A recent study by Johns Hopkins Medicine researchers provides evidence that CD4+ T lymphocytes — immune system cells also known as helper T cells — produced by people who received either of the two available messenger RNA (mRNA) vaccines for COVID-19 persist six months after vaccination at only slightly reduced levels from two weeks after vaccination and are at significantly higher levels than for those who are unvaccinated.

    The researchers also found that the T cells they studied recognize and help protect against the delta variant of SARS-CoV-2, the virus that causes COVID-19. According to the U.S. Centers for Disease Control and Prevention, the delta variant — currently the predominant strain of SARS-CoV-2 in the United States — causes more infections and spreads faster than earlier forms of the virus.

    The study findings were first reported online Oct. 25, 2021, in the journal Clinical Infectious Diseases.

    “Previous research has suggested that humoral immune response — where the immune system circulates virus-neutralizing antibodies — can drop off at six months after vaccination, whereas our study indicates that cellular immunity — where the immune system directly attacks infected cells — remains strong,” says study senior author Joel Blankson, M.D., Ph.D., professor of medicine at the Johns Hopkins University School of Medicine. “The persistence of these vaccine-elicited T cells, along with the fact that they’re active against the delta variant, has important implications for guiding COVID vaccine development and determining the need for COVID boosters in the future.”

    To reach these findings, Blankson and his colleagues obtained blood from 15 study participants (10 men and five women) at three times: prior to vaccination, between seven and14 days after their second Pfizer/BioNTech or Moderna vaccine dose, and six months after vaccination. The median age of the participants was 41 and none had evidence of prior SARS-CoV-2 infection.

    CD4+ T lymphocytes get their nickname of helper T cells because they assist another type of immune system cell, the B lymphocyte (B cell), to respond to surface proteins — antigens — on viruses such as SARS-CoV-2. Activated by the CD4+ T cells, immature B cells become either plasma cells that produce antibodies to mark infected cells for disposal from the body or memory cells that “remember” the antigen’s biochemical structure for a faster response to future infections. Therefore, a CD4+ T cell response can serve as a measure of how well the immune system responds to a vaccine and yields humoral immunity.

    In their study, Blankson and colleagues found that the number of helper T cells recognizing SARS-CoV-2 spike proteins was extremely low prior to vaccination — with a median of 2.7 spot-forming units (SFUs, the level of which is a measure of T cell frequency) per million peripheral blood mononuclear cells (PBMCs, identified as any blood cell with a round nucleus, including lymphocytes). Between 7 and 14 days after vaccination, the T cell frequency rose to a median of 237 SFUs per million PBMCs. At six months after vaccination, the level dropped slightly to a median of 122 SFUs per million PBMCs — a T cell frequency still significantly higher than before vaccination.

    The researchers also looked six months after vaccination at the ability of CD4+ T cells to recognize spike proteins atop the SARS-CoV-2 delta variant. They discovered the number of T cells recognizing the delta variant spike protein was not significantly different from that of T cells attuned to the original virus strain’s protein.

    Although the study was limited because of the small number of participants, Blankson feels it pinpoints areas that merit further research.

    “The robust expansion of T cells in response to stimulation with spike proteins is certainly indicated, supporting the need for more study to show booster shots do successfully increase the frequency of SARS-CoV-2-specific T cells circulating in the blood,” says Blankson. “The added bonus is finding that this response also is likely strong for the delta variant.”

    Along with Blankson, the members of the study team from Johns Hopkins Medicine are study lead author Bezawit Woldemeskel and Caroline Garliss.

    This study was supported by the Johns Hopkins COVID-19 Vaccine-related Research Fund.

    The authors do not have financial or conflict of interest disclosures. 

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading

    Health

    Poverty, Racism and the Public Health Crisis in America

    Published

    on

    Although extreme poverty in the United States is low by global standards, the U.S. has the worst index of health and social problems as a function of income inequality. In a newly published article, Bettina Beech, clinical professor of population health in the Department of Health Systems and Population Health Sciences at the University of Houston College of Medicine and chief population health officer at UH, examines poverty and racism as factors influencing health.

    “A common narrative for the relatively high prevalence of poverty among marginalized minority communities is predicated on racist notions of racial inferiority and frequent denial of the structural forms of racism and classism that have contributed to public health crises in the United States and across the globe,” Beech reports in Frontiers in Public Health. “Racism contributes to and perpetuates the economic and financial inequality that diminishes prospects for population health improvement among marginalized racial and ethnic groups. The U.S. has one of the highest rates of poverty in the developed world, but despite its collective wealth, the burden falls disproportionately on communities of color.” The goal of population health is to achieve health equity, so that every person can reach their full potential.

    Though overall wealth has risen in recent years, growth in economic and financial resources has not been equally distributed. Black families in the U.S. have about one-twentieth the wealth of their white peers on average. For every dollar of wealth in white families, the corresponding wealth in Black households is five cents.

    “Wealth inequality is not a function of work ethic or work hour difference between groups. Rather, the widening gap between the affluent and the poor can be linked to unjust policies and practices that favor the wealthy,” said Beech. “The impact of this form of inequality on health has come into sharp focus during the COVID-19 pandemic as the economically disadvantaged were more likely to get infected with SARS CoV-2 and die.”

    A Very Old Problem 

    In the mid-1800’s, Dr. James McCune Smith wrote one of the earliest descriptions of racism as the cause of health inequities and ultimately health disparities in America. He explained the health of a person “was not primarily a consequence of their innate constitution, but instead reflected their intrinsic membership in groups created by a race structured society.”

    Over 100 years later, the Heckler Report, the first government-sanctioned assessment of racial health disparities, was published. It noted mortality inequity was linked to six leading causes of preventable excess deaths for the Black compared to the white population (cancer, cardiovascular disease, diabetes, infant mortality, chemical dependency and homicide/unintentional injury).

    It and other reports led to a more robust focus on population health over the last few decades that has included a renewed interest in the impact of racism and social factors, such as poverty, on clinical outcomes.

    The Myth of Meritocracy

    Beech contends that structural racism harms marginalized populations at the expense of affording greater resources, opportunities and other privileges to the dominant white society.

    “Public discourse has been largely shaped by a narrative of meritocracy which is laced with ideals of opportunity without any consideration of the realities of racism and race-based inequities in structures and systems that have locked individuals, families and communities into poverty-stricken lives for generations,” she said. “Coupled with a lack of a national health program this condemns oppressed populations such as Black and Hispanic Americans, American Indians, and disproportionately non-English speaking immigrants and refugees to remain in poverty and suffer from suboptimal health.”

    Keys to Improvement

    The World Health Organization identified three keys to improving health at a global level that each reinforces the impact of socioeconomic factors: (1) improve the conditions of daily life; (2) tackle the inequitable distribution of power, money and resources; and (3) develop a workforce trained in and public awareness of the social determinants of health.

    The report’s findings highlight the need to implement health policies to increase access to care for lower-income individuals and highlight the need to ensure such policies and associated programs are reaching those in need.

    “Health care providers can directly address many of the factors crucial for closing the health disparities gap by recognizing and trying to mitigate the race-based implicit biases many physicians carry, as well as leveraging their privilege to address the elements of institutionalized racism entrenched within the fabric of our society, starting with social injustice and human indifference,” said Beech.

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading

    Mental Health

    When Giving Thanks, Don’t Forget Yourself

    Published

    on

    As we give thanks at the holidays, it’s easy to overlook someone important: your past self.

    While it’s well documented that gratitude toward others can improve wellbeing, two University of Florida scientists find that gratitude toward your past self also has benefits.

    Does thanking yourself seem a bit…selfish? The researchers, UF psychology professor Matt Baldwin, Ph.D., and undergraduate student Samantha Zaw, think not.

    “Despite the fact that past gratitude is self-focused, it reminds people that they’re part of a bigger story and that they have the power to grow,” Baldwin said. “It’s possible this promotes a pay-it-forward type of mentality.”

    Gratitude is what psychologists call a self-transcendent emotion, one that lifts us out of the everyday and expands our perspective, which can help us get along with each other better. In a recent experiment, Baldwin and Zaw asked participants to write brief gratitude letters. The first group thanked someone else, the second thanked themselves, while a third, the control condition, wrote about a positive experience they’d had. Zaw and Baldwin then surveyed the participants about their self-perception after writing the letter. Although the results are not yet published, early analysis shows that the exercise gave the other- and self-focused gratitude groups a sense of redemption and helped them feel they were morally good people. However, the group that wrote to themselves scored higher on both measures.

    The past-self group also saw a benefit the others didn’t: an increase in the self-awareness measures of clarity, authenticity and connectedness.

    “Unlike gratitude toward others, being appreciative of ourselves carries an added benefit of truly understanding who we are and feeling connected to ourselves,” said Zaw, a McNair Scholar who has been working with Baldwin since her freshman year as part of UF’s Emerging Scholars Program.

    Zaw and Baldwin’s research — the first known data gathered on past-self gratitude — was inspired by a Reese’s cup. When Baldwin’s co-worker, boredom researcher Erin Westgate, returned to the office after pandemic lockdown, she was delighted to discover a peanut butter cup she had squirreled away in her desk.

    “She texted me like, ‘Oh my gosh, my past self left my future self a Reese’s,’” Baldwin recalled. “I was like, ‘Wait a second. You’re expressing gratitude towards something your past self had done. We have to study this.’”

    As Zaw and Baldwin dug into previous studies, they found plenty on gratitude toward others and a few on self-compassion, but nothing on past-self gratitude. They designed the letter-writing experiment to test its effects, presenting their findings at the Society of Southeastern Social Psychologists in October and at the upcoming meeting of the Society for Personality and Social Psychology in February.

    If you’re curious about the benefits of self-gratitude, Zaw offered a way to try the experiment at home, maybe as a new Thanksgiving tradition. Take a few minutes to write a thank you message to someone else, and another to yourself for something you did in the past. Sharing what you wrote could foster connections between loved ones, she said, but the exercise can also pay dividends if you try it on your own.

    “At Thanksgiving and Christmas, we focus on other people, but self-care is really needed too, especially if we want to feel more clear about ourselves,” she said. “Maybe it can even lead to a better vision for ourselves for the next year.”

    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Continue Reading
    Advertisement

    Connect With SWHELPER

    Twitter
    Flipboard Instagram
    Advertisement

    Trending

    Advertisement


    Good Things Happen When
    You Subscribe

    Subscribe
    Advertisement

    Trending

    DON’T MISS OUT!
    Subscribe To Newsletter
    Get access to free webinars, premimum content, exclusive offers and discounts delivered straight to your email inbox.
    Start My Free Subscription
    Give it a try, you can unsubscribe anytime.
    close-link


    Good Things Happen When
    You Subscribe

    Subscribe
    close-link
    Get Free E-Book Download
    Gratitude: Self-Care Strategies for Life and Work
    Subscribe
    After confirmation, our free e-book download will be emailed to you...unsubscribe anytime
    Close