Summary An emerging area of social work practice is within sport and athletics. Due to the complex nature of sport and the diverse needs of sport participants, social workers are optimally positioned to be critical change agents. However, there is a lack of empirical research dedicated to exploring this unique area of practice. The current study explores the unique values, knowledge, and skills social workers use when working in sport, as well as describes the roles that social workers fulfill. Findings Semi-structured interviews were conducted with 15 social workers who work in youth sport, collegiate athletics, and professional sports. Their occupations ranged from psychotherapists to athletic counselors to coaches. Findings from the thematic analysis provide insight to the values, knowledge, and skills used in sport that social workers developed from their formal education. For instance, social workers, through their commitment to promoting diversity and inclusion, are trained to take a strength-based, person-centered approach when working with individuals and teams. Applications Findings highlight the dynamic and diverse roles social workers fulfill as change agents who aim to enhance human wellbeing within a variety of sport systems and settings. Social workers not only work in collegiate athletic departments, but they also provide needed services to youth who are socially vulnerable through sport-based programming and strength-based coaching. The current study helps to not only advance the field of social work, but also advocates for social workers in sport settings. Ultimately, social work professionals are optimally positioned to be playmakers in the athletic arena.
Background
Increasing the availability of naloxone among people who use opioids, and friends and family of past and present people who use opioids is a vitally important mission to reduce the occurrence of opioid-related overdose deaths. The purpose of this study was to determine the availability of naloxone in independent community pharmacies in Georgia. Secondary objectives include determining pharmacists’ knowledge regarding the standing order and ability to counsel regarding naloxone.
Methods
A cross-sectional study using a secret shopper approach with phone contact was conducted over a period of 10 months. The study was population based and was conducted at all independent pharmacies in the state of Georgia. All independent community pharmacies in the state of Georgia were contacted and asked the naloxone questions with a 96% response rate (n = 520).
Results
Five hundred fifty-eight independent community pharmacies were called, with a 96% response rate (n = 520 pharmacies). Two hundred-twenty pharmacies reported having naloxone in stock. Of the 335 pharmacists asked, 174 (51.9%) incorrectly said that a prescription was required. The mean (SD) cash price was $148.02 (27.40), with a range of $0 to $300. Of 237 pharmacists asked who had naloxone in stock or who stated they could get naloxone in stock, 212 stated that they could demonstrate how to use it, 8 stated they could not, and 17 said that they possibly could or were unsure how to use it.
Conclusions
This study provided insight into the limited availability of naloxone at independent community pharmacies in Georgia after the standing order was issued. The majority of pharmacists at independent pharmacies in Georgia were not using the publicly available state naloxone standing order. Additionally, the low availability of naloxone and its high cost for uninsured individuals are significant structural barriers for reducing opioid-related mortality.
Social workers are beginning to be hired in collegiate athletic departments to meet the holistic needs of student-athletes. The limited research that has examined social work practice in sport has not explicitly explored ways in which social work values manifest in practice. The current study explored how the values of the social work profession are applied when providing mental and behavioral health services in collegiate athletics. Using a qualitative design, nine licensed social workers employed in athletic departments were interviewed. Data were deductively coded using the NASW (2017) Code of Ethics’ six values: service, social justice, dignity and worth of the person, importance of human relationships, integrity, and competence. Social workers recognized student-athletes as a vulnerable population, worked on social justice issues, placed an emphasis on the diversity of student-athletes, built relationships with both student-athletes and sport staff, and advocated for social work values in athletics. They also called for more opportunities to increase knowledge of social work practice in sport settings. Results support the need for social work programs to prepare students for careers in sport through efforts such as offering elective courses related to social work practice in sport and providing sport-specific practicum opportunities.
Attention to health literacy is essential more now than ever given the recognition, attention, and resources being dedicated to addressing health disparities throughout the world. Unfortunately, health literacy research is scarce in many parts of the world, particularly among youth. Using focus group discussions with junior high school students (N = 98) in a rural town of Central Mexico, we sought to learn about their experiences utilizing healthcare services at a local health clinic. The themes that naturally emerged from focus group discussions aligned with Massey’s framework on critical health literacy among US youth, and included problems navigating the health system, embarrassment speaking to doctors about sensitive issues, and minimal importance being placed on preventative care. This suggests that Massey’s framework may be appropriate to use when seeking to understand and promote health literacy among youth in Mexico. Furthermore, the challenges faced by adolescent participants in this study suggest that additional research is needed to assess how youth in other areas of Mexico are faring in efforts to understand and access their new and evolving universal healthcare system.
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