Objective: The concept of medical futility is accepted in general medicine, yet little attention has been paid to its application in psychiatry. We explore how medical futility and principles of palliation may contribute to the management of treatment refractory anorexia nervosa.
Method:We review the case of a 30-year-old woman with chronic anorexia nervosa, treated unsuccessfully for several years.
Background: The use of synchronous telemental health for therapy group is a relatively new area of exploration. While telegroups have demonstrated they can be helpful in providing psychoeducation, there is less known about whether synchronous remote groups can develop group cohesion and whether patients can receive the benefit of a supportive group setting.Methods: A pilot study was conducted comparing group cohesion between patients who participated in a dialectical behavior therapy (DBT) group via video teleconferencing (VTC) and patients who participated in an in-person group.Results: Findings indicate that while both groups felt equally connected to the facilitator, there were significant differences between the online and in-person groups on the group cohesion scale. Those in the online group did not feel as connected to other group members as those in the in-person group. Qualitative statements indicate that while an in-person group may have been preferable, the convenience of the online group outweighed any negative effects. Attendance was significantly better in the online group, suggesting that use of this technology may help to overcome barriers preventing treatment participation. The focus of this study was on group cohesion and changes in psychiatric symptoms were not evaluated.Conclusions: The use of telemental health for group therapy appears to be a viable alternative to traditional in-person groups, especially when no other treatment options are available. However, facilitators may need to take extra steps to build group cohesion when members are participating remotely.
The effect of nonresidential father relationship characteristics on delinquency trajectories among low‐income youth (N = 799) was examined using data from the Three Cities Study, a longitudinal study of mothers and their children eligible for Temporary Assistance for Needy Families in Boston, Chicago, and San Antonio. Growth curve models were employed to track delinquency trajectories and their rate of growth. Characteristics of father–child relationships (anger–alienation, trust–communication) were specified as predictors of delinquency while controlling for father involvement and family structure. Trust–communication influenced delinquency growth, but the rate of growth slowed as youth aged. Implications for programs, interventions, and policy are explored.
Information and communication technologies (ICTs) are becoming essential to social work practice by providing increased treatment possibilities and reducing barriers to service. While recognizing the importance of ICTs in practice, social work practitioners have had concerns about ethical use. In response, NASW compiled the Standards for Technology and Social Work Practice. While the guidelines set the groundwork, they were not embedded in a process that would allow them to adapt to the swift pace of ICT changes. This article reviews the current Standards, evaluates how these have been implemented by practitioners, and offers suggestions for updates.
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