Jennifer L. Bellamy

Implementing Evidence-Based Social Work Practice

Recently, social work has been influenced by new forms of practice that hold promise for bringing practice and research together to strengthen the scientific knowledge base supporting social work intervention. The most recent new practice framework is evidence-based practice. However, although evidence-based practice has many qualities that might attract social workers to adopt it, use in practice is limited. Accordingly, attention is being given to determine effective strategies for the dissemination, adoption, and implementation of evidence-based practice. This article examines the implementation literature, describes alternative strategies for implementation of evidence-based practice in social work, describes an implementation study to illustrate concepts discussed, and specifies needed research.

The influence of stress and social support on depressive symptoms in mothers with young children

Limited research has examined the associations of stress, social support, and depression among mothers with young children over time. Longitudinal studies are needed to identify risk and protective factors for maternal depression given that depression can be cyclical and may affect women through the early years of their childrens development. This study examined the relationships among stress, social support, and depressive symptoms in a national sample of low-income urban American women with young children. A secondary data analysis of the Fragile Families and Child Wellbeing Study, a national longitudinal panel study of nearly 5000 births across 20 cities with populations of 200,000 or more in the United States, was conducted. The analytic sample included all mothers (N = 3675) who completed assessments at baseline through year 5 of the study between 1998 and 2005. Multivariate models using generalized estimating equations were used to estimate the probability of being depressed as a function of stress-related risk factors, social support factors, and sociodemographic variables. The rate of depression each year ranged from 15% to 21%. The results suggest that stress related to economic hardship, parenting, and poor physical health increases the risk of depression among low-income urban mothers with young children. Instrumental and partner support were found to be potential protective factors in reducing the negative effects of stress, but only to a certain degree. Future efforts are needed to strengthen social support and mitigate chronic stressors that contribute to mental health problems in low-income communities.

Preparing Social Work Practitioners to Use Evidence-Based Practice: A Comparison of Experiences From an Implementation Project

The implementation of evidence-based practice (EBP) as a professional model of practice for social work has been suggested as one approach to support informed clinical decision making. However, different barriers and processes have been identified that impact the use of EBP at individual, organizational, and systemic levels. This article describes results from a project that sought to enhance practitioner use of EBP by using a supportive strategy including training and technical assistance through a partnership between university-based researchers and three social work agencies. Results compare similarities and differences across each of the three agencies in terms of barriers and promoters at the team, organizational, and system levels. Results suggest that comprehensive multilevel interventions are needed to support the use of EBP in social work organizations and that further research is needed to test explicit partnership components. Findings suggest that a multilevel approach has the greatest potential to support implementation of EBP in social agencies.

Teaching Evidence-Based Practice

A complete and mindfully developed blueprint for implementing evidence-based practice (EBP) in social work should include a full complement of coordinated goals and strategies for all stakeholders, including future social workers. To this end, schools of social work should teach students to be lifelong learners; teach students what is currently known and not known about the efficacy and effectiveness of social work practices and programs; teach students to be knowledgeable and skillful with the empirically supported practices in their area of specialty; teach current practitioners new knowledge and skills through evidence-based continuing education programs. This article describes these strategies and draws on examples from the classroom and a pilot training project designed to support EBP in social work agencies.

AGENCY–UNIVERSITY PARTNERSHIP FOR EVIDENCE-BASED PRACTICE IN SOCIAL WORK

Little is known about evidence-based practice (EBP) in social service agencies beyond studies of researcher, practitioner, and educator opinions. The Bringing Evidence for Social Work Training (BEST) Project involved 16 participants from 3 social service agencies. The experiential training, delivered by 2 doctoral students, focused on a team-identified practice issue and followed the EBP process of motivation, question formulation, search, evaluation, and application planning. Posttraining focus group data were analyzed. Results suggest that university researchers who based in schools of social work can successfully collaborate with agencies to support the process of identifying, evaluating, and discussing the application of research evidence in practice. University–agency training partnerships should be considered as 1 of many potential strategies for advancing EBP in social work.

A national study of the impact of outpatient mental health services for children in long-term foster care

Despite the tremendous mental health need evidenced by children in foster care and high rates of use of mental health services among children in foster care, little is known about the impact of outpatient mental health services on the behavioral health of this population. This study utilizes data from the National Survey of Child and Adolescent Well-being (NSCAW), the first nationally representative study of child welfare in the United States. A subsample of 439 children who have experienced long-term foster care were included in this study. These data were used to estimate the impact of outpatient mental health services on the externalizing and internalizing behavior problems of children in long-term foster care. A propensity score matching model was employed to produce a robust estimate of the treatment effect. Results indicate that children who have experienced long-term foster care do not benefit from the receipt of outpatient mental health services. Study results are discussed in the context of earlier research on the quality of mental health services for children in foster care.

Implementing Evidence-Based Practice Education in Social Work: A Transdisciplinary Approach

Evidence based practice (EBP) is reflected in social work publications, accreditation standards, research, and funding opportunities. However, implementing EBP in social work practice and education has proven challenging, highlighting the need for additional resources. This paper describes the Transdisciplinary Model of EBP, a model based on advances in EBP across health disciplines including social work and its application to the development of an online EBP training portal. Utility of the Transdiciplinary Model and a training portal for social work education is discussed. Also included is a description of the training modules, the Council on Social Work Education Educational Policy and Accreditation Standards competencies reflected in the modules, and a case example using the modules in a master s of social work course.

Implementing Evidence-Based Practice: Practitioner Assessment of an Agency-Based Training Program

Responding to the call for evidence-based practice (EBP) in social work, the authors conducted a multiphase exploratory study to test the acceptability of a training-based collaborative agency–university partnership strategy supporting EBP. The Bringing Evidence for Social Work Training (BEST) study includes an agency training component consisting of 10 modules designed to support the implementation of EBP in social agencies. Qualitative data from post-training participant focus groups were analyzed in order to describe practitioner perceptions of the 10 training modules and trainer experiences of implementation. Based on the findings from this study the authors suggest that the BEST training was generally acceptable to agency team members, but not sufficient to sustain the use of EBP in practice.

The State of Parent Training: Program Offerings and Empirical Support:

Parent training programs, with a range of empirical support, are available to improve parenting skills and reduce child behavior problems. Yet, little is known about programs provided in typical communities. This pilot studys purpose was to identify and describe parent programs–-and the agencies that provide them–-in one midsized Midwestern city. The sample included 21 program directors and 25 practitioners employed by 19 agencies. Data were gathered using structured phone interviews. Of the 35 programs represented, 37.1% were developed by the agency, while close to two thirds were previously developed interventions. Only a small number of the parent programs identified were classified into the category of strong empirical support; however, several included hallmarks often associated with empirically supported parent programs.

Examining Inclusion of Evidence-Based Practice on Social Work Training Program Websites

Websites represent a visible medium for social work programs to communicate information about social work research, academics, and professional training priorities, including evidence-based practice (EBP). However, few studies have examined the content of social work program websites. This exploratory study aimed to answer the question: Are EBP efforts in social work reflected on school websites? A guided content analysis of 40 randomly selected websites for schools of social work was used to identify how training, implementation, dissemination, and research related to EBP were represented through this medium. Implications for social work education, practice, and research are discussed.