Objective The objective was to quantitatively and qualitatively examine the efficacy of DBT (e.g., decreasing life-threatening suicidal and parasuicidal acts, attrition, and depression) explicitly with borderline personality disorder (BPD) and using conservative assumptions and criteria, across treatment providers and settings. Method Five randomized controlled trials (RCTs) were identified in a systematic search that examined the efficacy of DBT in reducing suicide attempts, parasuicidal behavior, attrition during treatment, or symptoms of depression, in adult patients with BPD. Results Combining effect measures for suicide and parasuicidal behavior (five studies total) revealed a net benefit in favor of DBT (pooled Hedges’ g −0.622). DBT was only marginally better than treatment as usual (TAU) in reducing attrition during treatment in five RCTs (pooled risk difference −0.168). DBT was not significantly different from TAU in reducing depression symptoms in three RCTs (pooled Hedges’ g −0.896). Discussion DBT demonstrates efficacy in stabilizing and controlling self-destructive behavior and improving patient compliance.

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English Around one in .ve US accredited schools of social work are currently placing students in international .eld placements. Providing adequate supervision strains these programs. This study proposes a triad model of videoconferencing supervision and reports the responses of students in international placements, their agencies and university supervisors. French Environ un cinquiè me des é coles de travail social accré dité es aux Etats-Unis offrent des stages internationaux à leurs é tudiants. Fournir la supervision approprié e met de la stresse sur ces programmes. Cet article propose un modè le de supervision par vidé oconfé rence (triad) et discute les opinions sur ce modè le des é tudiants en stages, de leurs agences, et des superviseurs des université s. Sapanish Aproximadamente una de cada cinco escuelas de trabajo social, acreditada en los Estados Unidos, ubican estudiantes en campos internacionales. Mediante una adecuada supervisión se pueden filtrar estos programas. Este estudio propone un modelo tríada de supervisión mediante videoconferencia y reportes de los estudiantes ubicados en campos internacionales, sus agencias y los supervisores universitarios.

English Twenty-one US social work programs with international placements were surveyed to assess: information about participating students; screening processes; student preparations; and supervision. Four models of international placements were identified: independent, neighbor, on-site and exchange. The information is provided to assist programs in developing international placements. French Vingt-et-un programmes de travail social américains offrant des stages internationaux ont été examinés pour avoir une idée des étudiants qui y participent, des procédures de sélection, des préparatifs pour les étudiants, et de la supervision. Quatre modèles des stages internationaux ont été identifiés: indépendant, voisinant, sur place et échange. Des informations sont fournies pour aider dans le développant des stages internationaux. Spanish Se encuestaron veintiún programas de trabajo social en Estados Unidos dotados con colocaciones internacionales para las prácticas de campo. Se evaluó: 1) la información acerca de los estudiantes participantes, 2) el proceso de selección, 3) la preparación de los estudiantes, y 4) la supervisión. Se identificaron cuatro modelos de colocación internacional: independiente, vecino, doméstico (on-site) y de intercambio. La información se dirige a asistir en el desarrollo de colocaciones de prácticas internacionales.

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Objective: To determine the effectiveness of group therapy in treating sexually abused children to prevent recidivism (subsequently re-abused or becoming abusers themselves). Methods: Recidivism rates of 617 children were compared between sexually abused children who received group treatment with those whose parents refused treatment. Additionally, pre- and post- YOQ 30.1 symptom ratings for 47 children were compared to also determine group therapy treatment effectiveness. Results: Sexually abused children who received group therapy treatment, in conjunction with group therapy provided to their parents are statistically the least likely to be revictimized or to become sexual abusers themselves, showing a moderate treatment size effect. Conclusions: Group therapy is an effective treatment for sexually abused children to prevent future recidivism.

The need for a cultural formulation in the healthcare setting is demonstrated. A process is delineated for assessing the ethnically-diverse patient. A sensitive assessment provides recognition of how the patient's cultural roots affect their healing process. Cooperation and compliance to the advice given by healthcare professionals may be enhanced by understanding the patient's cultural perceptions. Case examples are given from Navajo, Laotian, and Cambodian cultures. The assessment and cultural formulation process can assist the social worker in their interventions with the patient and their recommendations to the other members of the treatment team.

Objective: In 2016, Mozambique ranked 13th worldwide in infant mortality (67.9 deaths/1,000 live births) and 20th worldwide in maternal mortality (489 deaths/100,000 live births). This study’s objective was to determine whether a comprehensive program, incorporating the International Association for Community Development’s recommended holistic elements was effective in a country such as Mozambique. Method: Over a 5-year period (2012–2017), an independent, randomized between-group outcome study was conducted to determine whether the holistic Care for Life ( CFL) Family Preservation Program was effective in reducing infant mortality ratios (IMRs) and maternal mortality ratios (MMRs) in Mozambique. Results: At preintervention assessment, intervention and comparison villages were statistically equivalent in both IMR and MMR. After 5 years, intervention villages were significantly below the comparison villages in both IMR (odds ratio = 2.3) and MMR (odds ratio = 4.6). Conclusion: The use of comparison groups demonstrated the CFL program comprehensive, holistic, and sustainable approach is effective.