Marcia Egan

Logic Modeling: A Tool for Teaching Critical Thinking in Social Work Practice.

This article describes how logic models are used to teach critical thinking in social work courses. By breaking down the helping process into parts, logic modeling enables students to think about the clinical experience as a whole and to understand the causal relationships between these parts. Students are exposed to the connections between social work theory and practice, and they are made aware of the reciprocal connections between interventions and outcomes at the individual, organizational, community, and societal levels. The discussion of logic models in social work education is continued in the following article as well.

Living in a Bicultural World and Finding the Way Home: Native Women's Stories:

Four Native American women livingin the majority culture were interviewed in a qualitative study, usingsnowball sampling, to explore their experiences concerningthe meaningof being Native and of being Native women. A constant comparative qualitative analysis revealed four themes reflectingthe womens experiences: “otherness”: conflictingdominant and Native cultural messages; Native traditions as strengths, particularly as taught by female elders early in life; and the formation of positive gender and ethnic identities.

Managed care in home health: social work practice and unmet client needs.

Abstract Findings from a sample (n = 117) obtained through a survey mailed to a random sampling of social workers in home health agencies nation-wide suggest that the characteristics of patients discharged with unmet needs were psychosocial. Social work practice activities targeted transferring responsibility for care for patients from agencies and government/commercial third party payers to informal caregivers and community resources. Desired continuing education topics evidence the emphasis on effective interventions that facilitate discharge, interdisciplinary collaboration and practice evaluation.

Appalachian Women: The Path from the "Hollows" to Higher Education

Appalachian women who are the first of their families to pursue higher education must prevail against cultural and family norms. This qualitative study of the experiences of 12 such women students revealed the influences of culture and family on the womens decisions to go to college and on their development while in college. Its findings reflect the importance of subtle messages and images from significant others and from educators.

Getting Down to Business and Off Welfare: Rural Women Entrepreneurs

business ownership as a strategy for becoming economically selfsufficient. Constant comparative analysis revealed two experiences that were common to all the women. Two separate constellations of experiences also emerged: the experiences of over two thirds of the women that were distal to the entrepreneurial decision and the experiences of the remaining women that were proximal to the decision.

Ethical conflicts over access to services: patient effects and worker influence in home health.

ABSTRACT A survey of home health social workers (N = 51) explored the effects on patients of ethical conflicts over access to services. The findings suggest that patients were as likely to be discharged or not receive services as they were to receive the services without paying a fee. Social workers rated themselves as moderately influential in the resolution of the conflict. Their influence was significantly correlated with patients more often receiving services and less often being discharged. Social work influence was enhanced by recognition of professional expertise and/or through informal networking within the agency. Implications for practice and education are discussed.

Gerontological home health care : a guide for the social work practitioner

PrefaceAcknowledgments1. The Context of Social Work Practice in Home Health Care2. The Social Work Role in Home Health Care3. Culturally Competent Social Work Practice in Home Health Care4. Engagement of the Client in Home Health Care5. Social Work Assessment of the Individual in Home Health Care6. Social Work Assessment of Social Systems in Home Health Care7. Social Work Interventions with the Individual in Home Health Care8. Social Work Interventions with Social Systems in Home Health Care9. Evaluating Social Work Practice in Home Health CareAfterwordAppendix: Internet ResourcesWorks CitedIndex

Physicians' perceptions and responses to patient emotion: implications for social work practice in health care.

ABSTRACT Physicians serve a pivotal role in todays health systems, as they are often the first professional patients must contact for emotion problems. This study surveyed 225 practicing physicians to understand how they perceive patient emotion and the actio“emotion complaints” from a patient vignette, these physicians perceived the patient as experiencing anxiety, followed by fear, anger and sadness. Physicians had distinct preferences for psychosocial oriented responses (e.g., explore, reassure, and rationalize) and were least likely to avoid, distract, and ignore. Overall, anxiety and fear generated the greatest number of possible responses from physicians, anger and sadness the fewest.