Traumatic death survivors are an at-risk population that could benefit from social work interventions. This action research study explored social work perspectives on crisis practice with traumatic death survivors in acute medical settings. The research questions focused on whether early crisis interventions by social workers would benefit traumatic death survivors, which interventions were recommended in crisis practice with this population, the potential effects of repeated trauma exposure on the social workers providing the crisis interventions, and recommendations to manage this professional exposure to trauma. The purpose of the study was to explore social work perspectives on potential benefits of crisis interventions with traumatic death survivors and potential effects of crisis practice on the social workers providing the services. Crisis theory and family systems theory informed the study. Participants were selected from a convenience sample of licensed social workers, and data were collected in 1 focus group and 3 in-depth interviews. Data were analyzed using descriptive and thematic analysis. Findings supported the benefits of social work crisis interventions for traumatic death survivors and the need for self-care, self-awareness, and support to reduce the risks of negative effects of crisis practice on social workers. Specific crisis interventions recommended for practice include the roles of advocate and guide, grief support, viewing of the body, and explanation of next steps. An increase in knowledge and recommendations for future practice based on study findings might promote positive social change by raising awareness about the problem and improving social work practice with traumatic death survivors.

<p>Krisstöd som syftar till att lindra stress för poliser i yttre tjänst är en förutsättning för att uppnå en god arbetsmiljö. Enligt tidigare forskning bör personers behov och inställning tas i beaktande vid planeringen av krisstöd. Vad personer har för inställning till krisstöd kan studeras i form av attityder. Personers självkänsla är besläktat med känslighet för stress vilket kan påverka behov av krisstöd. Syftet med denna studie var att undersöka om copingresurser och självkänsla hade någon betydelse för attityd till krisstöd. Poliser i yttre tjänst deltog (<em>N</em> = 101, varav 29 kvinnor). Coping Resource Inventory (CRI), två skalor av självkänsla samt ett eget konstruerat frågeformulär för mätning av attityder till krisstöd användes. Resultaten visade att copingresurser och självkänsla hade betydelse för positiv attityd till krisstöd. Detta indikerar att högre bassjälvkänsla och högre copingresurser, via mer positiv attityd, utgör en nyckel till ett mer lyckat krisstöd.</p>

Krisstöd som syftar till att lindra stress för poliser i yttre tjänst är en förutsättning för att uppnå en god arbetsmiljö. Enligt tidigare forskning bör personers behov och inställning tas i beaktande vid planeringen av krisstöd. Vad personer har för inställning till krisstöd kan studeras i form av attityder. Personers självkänsla är besläktat med känslighet för stress vilket kan påverka behov av krisstöd. Syftet med denna studie var att undersöka om copingresurser och självkänsla hade någon betydelse för attityd till krisstöd. Poliser i yttre tjänst deltog (N = 101, varav 29 kvinnor). Coping Resource Inventory (CRI), två skalor av självkänsla samt ett eget konstruerat frågeformulär för mätning av attityder till krisstöd användes. Resultaten visade att copingresurser och självkänsla hade betydelse för positiv attityd till krisstöd. Detta indikerar att högre bassjälvkänsla och högre copingresurser, via mer positiv attityd, utgör en nyckel till ett mer lyckat krisstöd.

Les situations de crise sont fréquentes chez les personnes ayant des troubles de santé mentale. Plusieurs interventions ont été développées pour agir en prévention, dont les plans de crise reconnus comme particulièrement efficaces pour diminuer le recours aux mesures coercitives. Dans la littérature, plusieurs modèles de plans de crise sont proposés et incluent entre autres le plan de sécurité, le plan de crise conjoint et les directives anticipées. Un examen de ces différents plans permet de constater qu’ils ont des buts et des contenus très semblables. Basé sur la méthodologie proposée par le Johanna Briggs Institute (2020), une revue de la portée a été conduite dans l’objectif de dresser l’état des connaissances sur les plans de crise en santé mentale adulte. Une stratégie de recherche documentaire a été conduite sur six bases de données (CINAHL, PubMed, Medline, EMBASE, PsychINFO, and Cochrane) et a permis d’identifier 2435 articles. Parmi ces derniers, 122 textes complets ont été évalués et 78 ont répondu aux critères d’inclusion de l’étude. Ensuite, la qualité méthodologique des articles sélectionnés a été évaluée et les données ont été extraites de façon indépendante par deux étudiantes à la maitrise. L’analyse de contenu a été réalisée, puis les résultats préliminaires ont été présentés, discutés et validés avec un patient partenaire ayant vécu des crises en santé mentale. Une typologie des plans de crise a été identifiée selon 1) les plans de crise légaux et 2) les plans de crise formels. Également, cinq modalités pour la complétion des plans de crise ont été identifiées : les sections, le moment, les étapes de complétion, les personnes impliquées et la formation des acteurs.trices clés. Les retombées de l’intervention sont concordantes avec le but principal des plans de crise, soit la prévention de la crise. Or, les retombées les plus identifiées dans la littérature sont davantage liées au rétablissement de l’usager.ère et semblent indiquer que les plans de crise pourraient représenter une intervention permettant d’opérationnaliser le rétablissement dans les soins en santé mentale. Les futures recherches empiriques devraient cibler le développement des connaissances sur les modalités à privilégier dans l’objectif de guider les milieux cliniques dans l’implantation des plans de crise. / Crisis situations are frequent among people with mental health disorders. Several interventions have been developed to act in prevention, including crisis plans, which are recognized as particularly effective in reducing coercive measures. In the literature, several types of crisis plans have been proposed, including the safety plan, the joint crisis plan and advance directives. A review of these plans suggests that they are very similar in purpose and content. Based on the methodology proposed by the Johanna Briggs Institute, a scoping review was conducted with the objective of mapping the state of knowledge on crisis plans in adult mental health services. A literature search strategy was conducted on six databases (CINAHL, PubMed, Medline, EMBASE, PsychINFO, and Cochrane) and yielded 2435 articles. Of these, 122 full text articles were assessed for eligibility, and 78 met the inclusion criteria. Studies were then critically appraised using the Johanna Briggs Institute appraisal tools, and date were extracted my two master’s students. Content analysis was performed, and preliminary results were presented, discussed, and validated with a patient partner who has experienced mental health crises. A typology of crisis plans was identified according to 1) the legal crisis plan, 2) the formal crisis plan. Five modalities were identified for its completion: sections, timing, creation steps, people involved, and training of key actors in writing a crisis plan. The outcomes of the intervention are consistent with the main objective of crisis plans, which is to prevent a crisis. However, the most identified outcomes focused on the service user’s recovery and indicated that crisis plans could provide an opportunity to operationalize recovery in mental healthcare, thus suggesting an evolution in the aim of the intervention. Future research should further focus on the modalities of crisis plans to guide the implementation in clinical practice.

Social work encourages social change, solving problems in human relations, strengthens and liberates people, in order to fulfill their personal welfare. Its goal is to let all people to fully develop their abilities and prevent failure. The point of social work in humanitarian aid area is removal of significant negative factors, which could negatively influent already difficult social situation of individual or whole society. The goal of providing humanitarian aid to suffering is alleviation of consequences of their social situation and providing self-sufficiency for individual and whole society. There have been radical changes in social area since 1990. Various social problems are growing and so is growing the need for solution. Social worker skill requirements are increasing. Social working education had to be re-gained to university level as a professional activity. Minimum social working education standards emerge, universities got accreditations for additional areas of social work. Newly emerged humanitarian work field prepares student for quality work in humanitarian and developing help. New ways of competence for social work are sought. The theoretical part of thesis informs about traditions, goal of humanitarian and developing aid, current education possibilities, describes method, theory and ethics of social work. It also focuses on effect of traumatizing events on individual and society. The research part of thesis uses experience, views and opinions of social workers on problematics of social workers role in humanitarian and developing aid, opinions of social working students about education in humanitarian and developing aid. Motivation for the thesis was also own interest in social working domain, the need to inform social workers about specificity of work in humanitarian and developing organizations and current options for education of social workers. The thesis can also be useful source of information for wide public and social working or humanitarian aid applicants.