Previous research shows that LGBTQ+ youth are over-represented in out-of-home care and that especially transgender and non-binary youth face challenges during their placement. These challenges stem from, among other factors, the lack of knowledge and competence of professionals regarding the unique needs of transgender and non-binary youth. In Sweden, there are policies that aim to protect transgender and non-binary youth from discrimination and to promote their sexual and reproductive health and rights, and an increasing number of residential homes claim to have LGBTQ competence when competing for placements. However, it is unclear how this affects the everyday experiences of trans and non-binary youth at residential homes. The purpose of this study is to investigate the practices and challenges of clinical social workers at residential care homes when working with gender identity and sexual health issues among young transgender and non-binary youth. Eight semi-structured interviews focusing on professionals’ knowledge and experiences were conducted and analysed using reflexive thematic analysis. Four themes emerged: i) Knowledge being a personal matter; ii) Heteronormativity and binarity creating consequences; iii) Handling discrimination and harassments; and iv) Creating a trustful alliance. The results show that knowledge is a personal matter, and social work professionals seek the knowledge they need instead of receiving it in education or training. The contextual heteronormativity and binarity creating consequences at the residential care home pose challenges for social workers and they have to find creative ways to support transgender and non-binary youth and address the harassments and discrimination that these youth face. Moreover, the social workers share their strategies regarding how they are creating a trustful alliance. Overall, they identify significant challenges to developing clinical social work that is affirming of transgender and non-binary youth.

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Secondary traumatic stress (STS), the emotional duress that results when an individual hears about the firsthand trauma experiences of another, is a significant concern for many social workers, particularly those in high-stress and trauma-exposed environments such as emergency rooms or psychiatric hospitals. Newly graduated social workers are especially susceptible to STS due to their limited experience and exposure to the emotional distress of clients. Yet, limited studies have focused on newly graduated social workers and STS. This study is twofold: (1) it attempts to provide insight into the experiences of pediatric emergency room social workers (PERSW) with STS, and (2) to explicate the utility of the findings in practical strategies to assist newly graduated and current social workers entering high-stressful work environments. A thematic analysis and semi-structured interviews were used with twenty-three pediatric emergency room social workers with at least one year of experience. The analysis revealed three themes: (1) the trauma of the job, (2) the effects of STS, and (3) coping strategies for STS. The findings underscore the need for a specialized toolkit for new graduates in pediatric emergency social work, offering resources and strategies tailored to the unique challenges of this field.

Abstract The Family Intensive Treatment (FIT) team model provides intensive team-based, family-focused, comprehensive services to families in the child welfare system with parental substance misuse issues. The current evaluation study examined the effect of FIT on child safety, permanency, and parental wellbeing. A longitudinal quasi-experimental design with a two-group comparison using propensity score matching was used. Compared to a group of similar parents/caregivers receiving child welfare services (N = 2976), parents/caregivers who received FIT (N = 3025) were less likely to have new allegations of child maltreatment within 6 and 12 months after participating in the FIT program. There was no significant association between FIT receipt and recurrence of verified (i.e., substantiated) maltreatment: the rates of verified maltreatment were very similar for the parents/caregivers in the FIT group and the parents/caregivers in the comparison group. Similarly, no significant differences were found when the rates for foster care reentry were examined. In contrast, children of parents/caregivers who received FIT achieved permanency faster and at a greater rate compared to their counterparts. In addition, participation in the FIT program predicted improvement in parental/caregiver emotional protective capacity and overall protective capacity and showed a positive tendency in improvement of parental/caregiver behaviors related to their protective role. Finally, parents/caregivers who received FIT demonstrated significant improvements over time in several wellbeing domains including Daily Living Activities, Mental Health and Addiction, and Adult and Adolescent Parenting.

Despite the remarkable health achievements of Japan’s universal health coverage since 1961, along with numerous social programs to ensure financial protection, a growing proportion of the older population reportedly experiences financial hardship for essential health care. The socio-behavioral and economic situation of the households in need and the effective policy interventions remain unknown. To identify the reasons behind older persons’ financial hardship and the effective policy interventions, we performed a questionnaire survey of social workers in all hospitals, local government offices and social service agencies across six prefectures in Kansai region. Data from 553 respondents revealed that the financial difficulties related to health care are often closely intertwined with social and mental health hardships experienced by older people and their families. Notably, potentially helpful programs including ‘free/low-cost medical treatment program’ and the adult guardianship system for dementia were infrequently used. Moreover, male, social workers at local offices/agencies, and less than 10 years’ professional experience associated with infrequent use of key protective programs. To close the gap between policy and practice, policies should focus on clients’ daily living needs, and new frontline social workers should receive lifelong training that incorporates their own backgrounds, experiences, and values, including the use of anti-oppressive gerontological approaches.