Journal of evidence-based social work (2019)最新文献

{"title":"Validation of a Small Language Model for DSM-5 Substance Category Classification in Child Welfare Records.","authors":"Brian E Perron, Dragan Stoll, Bryan G Victor, Zia Qi, Andreas Jud, Joseph P Ryan","doi":"10.1080/26408066.2026.2673377","DOIUrl":"https://doi.org/10.1080/26408066.2026.2673377","url":null,"abstract":"<p><strong>Background: </strong>Recent studies have demonstrated that large language models (LLMs) can perform binary classification tasks on child welfare narratives, such as detecting the presence or absence of constructs such as substance-related problems, domestic violence, and firearms involvement. However, whether smaller locally deployable models can move beyond binary detection to classify specific substance types from these narratives remains untested.</p><p><strong>Objective: </strong>Validate a locally hosted LLM classifier for identifying specific substance types aligned with DSM-5 categories in child welfare investigation narratives.</p><p><strong>Methods: </strong>A locally hosted 20-billion-parameter LLM classified child maltreatment investigation narratives from a Midwestern U.S. state. Records previously identified as containing substace-related problems were passed to a second classification stage targeting seven DSM-5 substance categories. Expert human review of 900 stratified cases assessed classification precision, recall, and agreement with the criterion standard (Cohen's kappa). Model reproducibility was evaluated using approximately 15,000 independently classified records.</p><p><strong>Results: </strong>Five substance categories achieved almost perfect criterion-standard agreement (κ = 0.94-1.00): alcohol, cannabis, opioid, stimulant, and sedative/hypnotic/anxiolytic. Classification precision ranged from 92% to 100% for these categories. Two low-prevalence categories (hallucinogen, inhalant) performed poorly. Run-to-run agreement ranged from 92.1% to 99.1% across the seven categories.</p><p><strong>Conclusions: </strong>A small, locally hosted LLM can reliably classify substance types from child welfare administrative text, extending prior work on binary classification to multi-label substance identification. Operating entirely on local hardware and requiring no changes to existing data collection, the pipeline supports substance-specific surveillance, retrospective trend analysis, and improved alignment of services with the substance profiles of investigated families.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"1-14"},"PeriodicalIF":1.4,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of Interprofessional Education and Practice to Increase Skills, Attitudes, and Experiences among MSW Students.","authors":"Katrina Herweh, Nora C Wynn, Whitney Key, Michael P Dentato, John Orwat","doi":"10.1080/26408066.2025.2568079","DOIUrl":"10.1080/26408066.2025.2568079","url":null,"abstract":"<p><strong>Purpose: </strong>The shortage of competent behavioral healthcare professionals across the U.S. limits the availability of services, leaving primary care providers as the first point of access for many diverse populations, yet many lack training to provide high-quality care. This study discusses findings from four cohorts of a federally funded workforce development program that trained graduate social work (MSW) students in behavioral health skills and competencies, with a particular emphasis on interprofessional collaboration and care for diverse populations, including transition-aged youth and LGBTQ populations.</p><p><strong>Methods: </strong>Student competencies were assessed through self-reported surveys across domains of interprofessional collaborative practice, utilizing a pre- and post-program test design.</p><p><strong>Results: </strong>All cohorts demonstrated increased positive attitudes toward integrated healthcare teams, enhanced competencies in team skills, and improved interprofessional collaboration.</p><p><strong>Discussion: </strong>Results yield important implications for ongoing interprofessional training among MSW students and indicate the significance of workforce development programs in preparing students for future work on integrated healthcare teams.</p><p><strong>Conclusions: </strong>Interprofessional practice models offer practical solutions to current healthcare gaps. Workforce development programs advance interprofessional practice and provide the interprofessional education and training necessary to work effectively on integrated healthcare teams.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"526-545"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors Associated with Physical and Mental Health in a Sample of Queer and Heterosexual MSW Students.","authors":"Kimberly A Dressman, Nathan H Perkins, Jennifer A Shadik","doi":"10.1080/26408066.2025.2587091","DOIUrl":"10.1080/26408066.2025.2587091","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined factors associated with the physical and mental health of Queer and heterosexual Master of Social Work (MSW) students, with emphasis on Adverse Childhood Experiences (ACEs), Protective and Compensatory Experiences (PACEs), aggression, and Physical and Emotional Sibling Violence (PESV).</p><p><strong>Methods: </strong>A nationwide survey of MSW students (<i>N</i> = 480) assessed demographics, childhood experiences, health histories, and current well-being. Independent t-tests, chi-square analyses, correlations, and logistic regressions were used to compare Queer (<i>n</i> = 264) and heterosexual (<i>n</i> = 216) participants.</p><p><strong>Results: </strong>Queer students reported significantly higher ACEs (abuse, neglect, total) and PESV, along with fewer PACEs, compared to heterosexual peers. They were more likely to report a family history of mental illness, to have sought mental health treatment, and to rate their physical health as fair or poor. Logistic regression showed that higher ACEs and prior mental health treatment predicted poorer physical health, while more PACEs were protective. Poorer physical health, family history of mental illness, and Queer identity were predictors of mental health treatment-seeking.</p><p><strong>Discussion: </strong>Findings highlight the compounded impact of childhood adversity, identity-related stigma, and family mental health history on Queer MSW students. While PACEs provide some buffering effects, they may not fully offset the heightened risks associated with discrimination and early-life adversity.</p><p><strong>Conclusion: </strong>Queer MSW students experience disproportionate burdens in both physical and mental health. These results underscore the importance of trauma-informed, identity-affirming supports in graduate social work education to address disparities and promote student well-being.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"439-456"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a Social Work-Led Hepatitis C Treatment Model for Individuals with Substance Use Disorders in Primary Care.","authors":"Aimee Kresica, Katherine McDougal, Jessica Waters Davis, Xiaoming Zeng, David Alain Wohl, Michael Baca-Atlas","doi":"10.1080/26408066.2025.2570325","DOIUrl":"10.1080/26408066.2025.2570325","url":null,"abstract":"<p><strong>Objective: </strong>This study examined a social work-led, treatment-first model for hepatitis C virus (HCV) treatment embedded in an integrated primary care clinic serving individuals with substance use disorders (SUDs). This approach affirms the critical role of social workers in leading integrated HCV treatment models that expand access and improve outcomes for people with SUDs.</p><p><strong>Methods: </strong>We conducted a retrospective cohort evaluation of patients with confirmed HCV seen between 2018 and 2021. Eligible participants were identified through psychiatric and SUD programs, community referrals, and primary care. Individuals medically appropriate for treatment in primary care were offered direct-acting antivirals regardless of substance use or social circumstances. A licensed clinical social worker coordinated treatment, harm reduction counseling, social determinants of health screening, and care navigation. Electronic health record data were analyzed using descriptive and bivariate statistics (χ² tests, t-tests) to compare treatment initiation and sustained virologic response (SVR12) outcomes across demographic and SUD subgroups.</p><p><strong>Results: </strong>Of 190 individuals diagnosed with HCV, 88 (46.3%) initiated treatment and 75 (85.2%) achieved SVR12. All treated patients received three core social work services and received a mean of seven social work encounters. Cure rates were consistent across SUD subgroups. However, individuals with stimulant (<i>p</i> < .03) or sedative-hypnotic use disorders (<i>p</i> < .003) were significantly less likely to initiate treatment.</p><p><strong>Conclusions: </strong>Social workers can effectively lead HCV treatment within integrated primary care. Treatment-first, harm reduction - oriented models address structural barriers, expand access, and achieve high cure rates for populations historically excluded from specialty-based or abstinence-based care.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"385-397"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Preliminary Evaluation of Virtual Reality Mindfulness Tool for Veterans with Pain and Anxiety.","authors":"Micki Washburn, Paul Ziemba, Elizabeth Eng, Leslie Cantu, Jake Ziemba","doi":"10.1080/26408066.2025.2511953","DOIUrl":"10.1080/26408066.2025.2511953","url":null,"abstract":"<p><strong>Introduction: </strong>Veterans often face a unique combination of physical and mental health challenges resulting from their military service. Often, these health concerns require different approaches to care, resulting in gaps service and increased overall stress levels; however, mindfulness-based strategies have demonstrated potential for simultaneously addressing multiple physical and mental health concerns, such as chronic pain, anxiety and stress.</p><p><strong>Methods: </strong>This work presents the results of a collaboration with the Veterans Health Administration (VHA) assessing the preliminary acceptability and usability of a newly developed virtual reality-based mindfulness tool, <i>DawnVR</i>^<i>TM</i>.</p><p><strong>Results: </strong>Results indicate that the <i>DawnVR</i>^<i>TM</i> software had high levels of preliminary acceptability and usability. Moreover, the majority of users reported a decrease in their anxiety, pain and overall stress levels after one session of use.</p><p><strong>Discussion: </strong>These data lend support for the acceptability, ease of use and provide initial effectiveness data on the use of <i>DawnVR</i>^<i>TM</i> to assist in decreasing physical pain and anxiety in a sample of military service Veterans. Adding VR-based approaches to routine treatment has the potential to improve Veterans' overall experiences with care and may provide an option to improve Veterans self-management of their symptoms of pain and anxiety.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"375-384"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Financial Health is Behavioral Health: Enhancing Integrated Care Practice.","authors":"Jeffrey Anvari-Clark","doi":"10.1080/26408066.2025.2542448","DOIUrl":"10.1080/26408066.2025.2542448","url":null,"abstract":"<p><strong>Purpose: </strong>This article shows how financial health serves as an integral component of behavioral health beyond only a social determinant. It presents a framework conceptualizing financial health through three dimensions - financial precarity, efficacy, and well-being - and demonstrates how these interact with established behavioral health domains.</p><p><strong>Materials and methods: </strong>The paper integrates several theoretical perspectives with empirical evidence from social work, psychology, and financial therapy literature. It synthesizes research on financial assessment tools and evidence-based interventions that can be integrated into care settings.</p><p><strong>Results: </strong>Evidence demonstrates multidirectional relationships between financial and other behavioral health domains. Whereas financial precarity correlates with worse behavioral health conditions, financial efficacy serves as a protective factor. Intervention research shows that addressing financial concerns directly significantly improves both financial well-being outcomes and other behavioral health indicators, including healthcare engagement and medication adherence.</p><p><strong>Discussion: </strong>Conceptualizing financial health as a behavioral health domain enhances assessment and intervention practices in integrated care settings. This approach enables practitioners to identify and address specific financial behaviors that interact with other health domains, creates opportunities for interprofessional collaboration, and provides strategies for addressing health disparities.</p><p><strong>Conclusion: </strong>By positioning financial health as a type of behavioral health, practitioners can more effectively address complex interrelationships between financial circumstances and health outcomes. This perspective aligns with social work's person-in-environment approach while providing actionable strategies for improving overall well-being through simultaneous attention to financial and other behavioral health concerns.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"472-499"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144801178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma-Informed Care as Structural Disruption: Social Work at the Frontlines of Systems Transformation.","authors":"Quintenilla Merriweather","doi":"10.1080/26408066.2025.2553838","DOIUrl":"10.1080/26408066.2025.2553838","url":null,"abstract":"<p><strong>Background: </strong>Trauma-Informed Care (TIC) is frequently conceptualized as a clinical intervention targeting individual psychological harm. While valuable in clinical contexts, this framing restricts TIC's broader capacity for systemic and structural transformation.</p><p><strong>Objective: </strong>This article reframes TIC as a structural disruption strategy-an equity-driven, systems-level intervention that redefines how health is understood, delivered, and governed.</p><p><strong>Methods: </strong>Drawing from social work's integrative approach across clinical, community, and policy domains, the article situates trauma as a predictable outcome of structural violence rather than an individual pathology. Analysis centers on health system fragmentation, particularly the entrenched separation of behavioral and physical health, as a form of systemic harm.</p><p><strong>Results: </strong>The article highlights liberatory innovations that demonstrate TIC's transformative potential, including healing-centered schools, trauma-informed telehealth, and peer-based emergency response models. These examples illustrate pathways for addressing systemic inequities while fostering relational accountability and community-centered care.</p><p><strong>Conclusion: </strong>A paradigm shift is needed-from models of integrated care toward liberatory health systems rooted in justice, equity, and structural transformation. By reframing TIC as a disruption strategy, health and social work can move beyond symptom management to advance structural change.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"500-503"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing and Sustaining Rural School-Based Integrated Health Services Through University-Community Partnerships.","authors":"Laura M Hopson, Catherine Carlson, M Blake Berryhill, Deborah M Casper, Karina Rincon, Mary Crang, Kendra Webster, Gloria Abura-Meerdink, Laci Jones, Alicia McGee, Renita Quick","doi":"10.1080/26408066.2025.2593475","DOIUrl":"10.1080/26408066.2025.2593475","url":null,"abstract":"<p><strong>Purpose: </strong>Rural communities often have a high incidence of medical and behavioral health problems along with more limited access to care. This paper describes an innovative approach to providing integrated care in rural school-based health clinics in which graduate students serve as behavioral health interns. The purpose of this manuscript is 1) to describe a model for providing school-based integrated health services in a rural community and 2) to evaluate services provided by graduate interns embedded in school-based clinics.</p><p><strong>Materials and methods: </strong>Graduate interns completed a session checklist to track services provided in each session and collected data from participating students who received behavioral health services. Students completed the Outcome Rating Scale (ORS) after each session. Repeated measures MANOVAs were used to analyze the data for changes over time.</p><p><strong>Results: </strong>Services provided most often by interns included assessment, engagement, positive reinforcement, coping skills, goal setting, and clinical intervention. The data suggest that students receiving at least three sessions improved over time on self-reported wellbeing.</p><p><strong>Discussion: </strong>The results demonstrate the feasibility of providing integrated health care via school-based clinics that rely on graduate internships for behavioral health services. Challenges to implementing and sustaining school-based integrated health clinics are discussed.</p><p><strong>Conclusion: </strong>The ongoing challenges to meeting the medical and behavioral health needs of rural communities call for innovative approaches to providing integrated care. The clinics described here responded to these challenges through teamwork and strong university-community partnerships.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"457-471"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145643766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Black Mothers' Lived Experiences of Depression and the Relationship to Their Child's Asthma: A Qualitative Study.","authors":"Geraldine Méndez-González, Emma Straton, Taylor Brewer, Nia Moore, Shayla Stringfield, Amari McDuffie, Rachel H F Margolis","doi":"10.1080/26408066.2025.2568077","DOIUrl":"10.1080/26408066.2025.2568077","url":null,"abstract":"<p><strong>Purpose: </strong>Maternal depression represents a critical yet modifiable factor contributing to health inequity in pediatric asthma, particularly among Black families. Maternal mental health can directly affect a child's asthma management and outcomes; however, social work and behavioral health support remain largely absent from pediatric asthma care, and little is known about how mothers manage a child's asthma while also navigating their own mental health challenges. We sought to explore Black mothers' perceptions of depressive symptoms and how these symptoms affect their child's asthma.</p><p><strong>Materials and methods: </strong>We conducted semi-structured interviews with 12 Black mothers of children at a community-based pediatric asthma clinic. Eligible participants screened positive for depressive symptoms (PHQ-9 > 4). Data were analyzed using thematic analysis, which included multiple coding strategies and analytic memoing to develop and refine themes.</p><p><strong>Results: </strong>Mothers described extensive and chronic depressive symptoms, inadequate formal mental health treatment, and reliance on coping strategies and informal support. Mothers articulated the many ways in which their symptoms impaired their ability to manage their child's asthma,including responding to symptoms, medication use, and implementing environmental controls.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"420-438"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Competency Framework for Bachelor-Level Social Workers to Deliver Psychosocial Interventions within Integrated Care.","authors":"William O'Connell, Juliann Salisbury","doi":"10.1080/26408066.2025.2553011","DOIUrl":"10.1080/26408066.2025.2553011","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop and validate a competency framework for a bachelor-level social worker, or related degree type, to work in integrated behavioral healthcare settings under clinical supervision. In Washington state, a new bachelor-level certification called a Behavioral Health Support Specialist or BHSS includes social work, psychology, and related degree programs.</p><p><strong>Methods: </strong>Focus group interviews with stakeholders from across Washington State (<i>n</i> = 49) were conducted in addition to a confidential survey. A thematic analysis of data and validity check preceded interpretation of results.</p><p><strong>Results: </strong>Qualitative data generated salient recommendations to shape a competency framework tailored to integrated care, and other behavioral health settings. Survey data helped gauge the degree of endorsement for a new mental health provider for integrated care in Washington State.</p><p><strong>Discussion: </strong>Participants recommended specific action steps related to scope of practice, differentiation from other non-specialists, work setting expansion, supervisor qualifications, and ethics to align the competency framework with real-world practice.</p><p><strong>Conclusion: </strong>A BHSS competency framework supports the development of a new professional role to prepare a bachelor level social worker to deliver evidence-informed psychosocial interventions under supervision within integrated care settings.</p>","PeriodicalId":73742,"journal":{"name":"Journal of evidence-based social work (2019)","volume":" ","pages":"504-525"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144981255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}