Thursday, August 25, 2016

Recovery High Schools: Interview with Lori Holleran Steiker, Ph.D.

[Episode 105] Today's Social Work Podcast is about Recovery High Schools. I spoke with Dr. Lori Holleran Steiker, Distinguished Professor at the University of Texas at Austin’s School of Social Work, and author of the 2016 book, Youth and Substance Use:  Prevention, Intervention and Recovery. We talk about risk factors for addiction, adolescent brain development, how to think about addiction from a biopsychosocial-spiritual perspective, why recovery or sober high schools fit an essential gap in the continuum of care for youth struggling with drugs and alcohol and how you can help to bring one to your community. We end our conversation with Lori making an impassioned plea to join the fight against adolescent addiction.

Download MP3 [50:48]



Monday, June 13, 2016

Guardian of the Golden Gate: Interview with Kevin Briggs

[Episode 104] In today's episode of the Social Work Podcast I spoke with Kevin Briggs, retired Sergent with the California Highway Patrol. As part of his duties patroling Marin County, Sgt. Briggs responded to calls on the Golden Gate Bridge, one of the most lethal suicide spots in the world.

In April 2016 Sgt. Briggs and I talk about what it was like to be a negotiator working with people seconds away from jumping from the Golden Gate Bridge. Sgt. Briggs shared some of his strategies and his struggles working with hundreds of people, some of whom jumped and some of whom didn’t. He talked about getting famous and doing a TED talk. And then he shared something very personal – the story of how he found out that his son had been thinking of killing himself. Sgt. Briggs provides valuable insight in the professional and personal side of crisis work.

You can read more about his story in his book, Guardian of the Golden Gate and on his 2014 TED talk "The Bridge Between Suicide and Life."


Monday, March 28, 2016

The Grand Challenges for Social Work: Interview with Dr. Richard P. Barth

[Episode 103] Today's Social Work Podcast is about the Grand Challenge initiative for social work. In today’s interview I asked Dr. Barth if there was a plan to bring practitioners, educators and policy makers on board with the Grand Challenge initiatives – he said they were already on board. I asked him to walk us through a Grand Challenge topic – he picked the challenge Ensure Healthy Development for All Youth. I asked him if he hopes the Grand Challenge Initiative will make more funding available to the profession – he said that he hopes for more resources, not just funding. I asked him if he thought doctoral students should hitch their wagons to the Grand Challenges. He was very diplomatic, but basically said “yes.” I asked him about the challenges coordinating between the major social work organizations, NASW which represents practitioners, CSWE which represents educators, and SSWR which represents researchers. He said he’s never seen organizations working together so closely as they have with the Grand Challenges. I asked him if there were topics that people would be surprised to find out were not Grand Challenge topics. He said, there were several and then explained why. As an author of a Grand Challenge paper, I know that we were asked to conceptualize what could be accomplished in the next 10 years. So I asked Dr. Barth what he hoped he would be able to say at the 10 year anniversary event of the Grand Challenges.

Here's what the AASWSW website says about the Grand Challenge Initiative:

"The Grand Challenges for Social Work represent a dynamic social agenda, focused on improving individual and family well-being, strengthening the social fabric, and helping create a more just society. Explore each of the 12 Grand Challenges for Social Work below:"

Ensure healthy development for all youth
Close the health gap
Stop family violence
Advance long and productive lives
Eradicate social isolation
End homelessness
Create social responses to a changing environment
Harness technology for social good
Promote smart decarceration
Reduce extreme economic inequality
Build financial capability for all
Achieve equal opportunity and justice


Tuesday, February 9, 2016

Parenting Teenage Girls: Interview with Lisa Damour, Ph.D.

[Episode 102] Today's episode of the Social Work Podcast tackles one of the most difficult developmental stages in the parent-child relationship: adolescence. If you’re a long-time listener of the podcast, you know that I’ve spent most of my professional career working with or doing research on adolescents. Like most clinicians I have more experience with adolescents when things are going wrong in their lives than when they are going right. And as a parent, I can tell you that I seem to be much more clued into when things are going wrong than things are going right. Like earlier this afternoon… no, I’m just kidding, I wouldn’t do that to you. What I will do is introduce my guest. Dr. Lisa Damour (@LDamour), clinician, researcher, professor, parent, writer of the Adolescence column for the New York Times’ Motherlode blog, and most importantly for today’s episode, Dr. Damour is the author of Untangled: Guiding teenage girls through the seven transitions into adulthood.

I’ve read it. I think it is fantastic. I recommend this book without hesitation to anyone who is raising or will be raising a teenage daughter. The writing is engaging, scholarly without being boring, and full of practical tips that parents can adopt and implement immediately.

  • How often should my kid be eating dinner with me? 
  • When is the best time to have a serious and uncomfortable conversation? 
  • My thirteen-year-old rolls her eyes when I try to talk to her, and only does it more when I get angry with her about it. How should I respond?
  • Do I tell my teen daughter that I’m checking her phone?
  • Where’s the line between healthy eating and having an eating disorder?
  • My daughter’s friend is cutting herself. Do I call the girl’s mother to let her know?

I also think that any mental health professional who works with children and families should read this book. Dr. Damour basically hands you brilliant ways of explaining essential developmental concepts that will make sense to the parents and kids you work with. Plus, you’ll be able to legitimately recommend it as bibliotherapy for your clients. Check out the discussion guide: https://www.drlisadamour.com/untangled/discussion-guide/

In today’s interview we talk about why a teenage girl’s erratic and confusing behavior is actually healthy, necessary, and natural.  She talks about what’s going on in the minds of teenage girls and how parents can reframe their daughter’s thoughts feelings and actions. She talks about how society essentially abandons teenage girls and their parents. We talk about sex and the internet. And even though about 70% of the book focuses on how and when parents can know what’s going right, Dr. Damour draws on her extensive clinical experience to alert parents of when they have reason to worry. 

Monday, January 25, 2016

Critiques of the DSM-5: Interview with Jeffrey Lacasse, Ph.D.

[Episode 101] Today's episode of the Social Work Podcast is a critique of the  Diagnostic and Statistical Manual of Mental Disorders, 5th Edition: DSM-5.

The most basic critique of the DSM-5 is the same critique that has been levied against psychiatry for decades: that it does nothing more than medicalize or pathologize normal behavior. So is it ever ok to say that someone isn’t normal? Are there ever situations where giving a diagnosis is good? As it turns out, yes. And I’m not just talking about diagnosis as a means to finance treatment. Yes, third party reimbursement hinges on diagnosis. But I’m talking about something less institutional and more personal. There are people who like labels, who find comfort in being able to name or label what is wrong. The label draws a boundary around an experience. Labels can even draw up boundaries around a group of people. According to psychologist Gary Greenberg, “[the label] Asperger’s syndrome gave people whose primary symptom was isolation a way to belong and provided resources to those who were diagnosed” (Reese, 2013).

So, I know what you are wondering - is DSM diagnosis good or bad? Well, today’s episode won’t be the definitive answer to that question. But, it will give you cause to pause when you think about the role of DSM-5 in the professional life of social workers and the people we serve. My guest is social work faculty member from Florida State University, Jeffrey Lacasse, Ph.D. Dr. Lacasse has published several critiques of the changes in DSM-5. In today's episode, Dr. Lacasse critiques the definition of mental illness, the empirical support for and reliability of most diagnoses, the politics associated with the DSM and the implications for social workers who represent the single largest group of professionals who provide DSM diagnoses.


Wednesday, January 13, 2016

Private Practice for Social Workers: Interview with Dr. Julie Hanks, LCSW

[Episode 100] Today's episode of the Social Work Podcast is about private practice. My guest, Dr. Julie Hanks, LCSW is the founder and executive director of Wasatch Family Therapy. She is a columnist at HealthyWay.com, Answers.com, and PsychCentral where she writes about private practice. She seems to be on speed dial for national media outlets like the Wall Street Journal, Market Watch, HuffingtonPost Live, and magazines like Cosmopolitan, Health, Health and dozens of others. Dr. Hanks has developed a 6-week e-course called Rock the Media School which is designed to help health and mental health practitioners build their online presence through media interviews, blogging, and building an engaged social media following. Get details at RockTheMediaSchool.com. She is the author of the 2016 book, The Assertiveness Guide for Women: How to Communicate Your Needs, Set Healthy Boundaries, and Transform Your Relationships

In today's interview, Julie talks about key ingredients for a successful private practice including:
  • identifying your "big message;" 
  • building relationships online and offline; 
  • knowing what you're good at and outsourcing what you're not good at; and 
  • reconciling "social work" with "private practice." 
We end our conversation with information about resources for social workers who want to start or build a private practice

Monday, November 2, 2015

Becoming a Clinical Social Worker: Interview with Dr. Danna Bodenheimer

[Episode 99] Today’s episode of the Social Work Podcast is about becoming a clinical social worker. My guest, Dr. Danna Bodenheimer, is the author of Real World Clinical Social Work: Find Your Voice and Find Your Way published by New Social Worker Press.

In today's interview Danna and I talk about what makes a social worker a clinical social worker, what distinguishes a good from a bad clinical social worker, the one essential thing that all social workers bring to supervision, and the role of narcissism, observing ego, transference, counter-transference and the real relationship in clinical social work. We end with a discussion of money and how social workers need to earn enough so they can be present with their clients.

Thursday, May 21, 2015

Cognitive Enhancement Therapy for Schizophrenia: Interview with Shaun Eack, Ph.D.

[Episode 98] Today’s episode of the Social Work Podcast is about Cognitive Enhancement Therapy (Eack, 2012) - a relatively new approach to addressing some of the most persistent and intractable problems faced by people with schizophrenia. In order to learn more CET, I spoke with Shaun Eack, Ph.D. Dr. Eack has been involved in most of the clinical research on CET. He is the David E. Epperson Associate Professor of Social Work and Psychiatry at the University of Pittsburgh, and the director of the ASCEND Program, which stands for "Advanced Support and Cognitive Enhancement for Neurodevelopmental Disorders. I spoke with Shaun at the 2015 Society for Social Work and Research conference. In our interview, Shaun talks about the development of CET, the computer exercises and group therapy - the two components of the treatment, some amazing research findings, and how social workers can get trained in CET.

Thursday, April 16, 2015

Here's Tweeting at You: Using Social Media to Expand the Reach of Academic Conferences

[Episode 97] Today’s episode of the Social Work Podcast answers that age-old question, how do I live tweet a conference? In April 2014, I recorded a conversation with members of the social media team that was live tweeting the 2014 American Association of Suicidology conference: April Foreman, Tony Wood, Quintin Hunt, Dese'Rae Stage, and Cara Anna. The conversation was recorded at the end of four intense days. You’ll hear team members talking about the personal and professional benefits of live tweeting, how they handled controversial comments, and what it was like to be part of an historic moment. I include a "best practice" guide to help you plan what to do before, during, and after a conference or event.


Tuesday, March 10, 2015

Attachment-Based Family Therapy (ABFT) for Depressed and Suicidal Youth: Interview with Guy Diamond, Ph.D., and Suzanne Levy, Ph.D.

[Episode 96] In today's Social Work Podcast I speak with two of the three developers of Attachment-based Family Therapy (ABFT), Guy S. Diamond, Ph.D. and Suzanne Levy, Ph.D. The third developer Gary M. Diamond (no relation to Guy Diamond) lives in Israel and was unavailable for the interview.


ABFT is the only family-based psychotherapy with empirical support for reducing suicidal ideation in youth. In today's interview, Dr. Diamond and Dr. Levy discuss the theory and practice of Attachment-Based Family Therapy. Dr. Diamond mostly covers theory and concepts, and Dr. Levy addresses the question of "what does the therapist actually do in the therapy room."


If you're interested in learning more about ABFT, you can buy the treatment manual Attachment Based Family Therapy for Depressed Adolescents, watch a free webinar http://youtu.be/KcwHznzq-S4, or attend a workshop (details on their website: http://drexel.edu/familyintervention/attachment-based-family-therapy/overview/)
ABFT is listed on the National Registry of Evidence-based Programs and Practices, also referred to as NREPP. According to NREPP, 
"Attachment-Based Family Therapy (ABFT) is a treatment for adolescents ages 12-18 that is designed to treat clinically diagnosed major depressive disorder, eliminate suicidal ideation, and reduce dispositional anxiety. The model is based on an interpersonal theory of depression, which proposes that the quality of family relationships may precipitate, exacerbate, or prevent depression and suicidal ideation. In this model, ruptures in family relationships, such as those due to abandonment, neglect, or abuse or a harsh and negative parenting environment, influence the development of adolescent depression. Families with these attachment ruptures lack the normative secure base and safe haven context needed for an adolescent's healthy development, including the development of emotion regulation and problem-solving skills. These adolescents may experience depression resulting from the attachment ruptures themselves or from their inability to turn to the family for support in the face of trauma outside the home. ABFT aims to strengthen or repair parent-adolescent attachment bonds and improve family communication. As the normative secure base is restored, parents become a resource to help the adolescent cope with stress, experience competency, and explore autonomy. 
ABFT is typically delivered in 60- to 90-minute sessions conducted weekly for 12-16 weeks. Treatment follows a semistructured protocol consisting of five sequential therapy tasks, each of which has clearly outlined processes and goals:
  1. Task 1: The Relational Reframe Task, with the adolescent and parents (or parent) together, sets the foundation of the therapy. After an assessment of the history and nature of the depression, the therapist focuses on relational ruptures. This shift pivots on the therapeutic question, "When you feel so depressed or suicidal, why don't you go to your parents for help?" The progression of this conversation leads parents and the adolescent to agree that improving the quality of their relationship would be a good starting point for treatment.
  2. Task 2: The Adolescent Alliance Task, with the adolescent alone, identifies relational ruptures in the family and links them to the depression. The adolescent is encouraged and prepared to discuss these often avoided feelings and memories with his or her parents.
  3. Task 3: The Parent Alliance Task, with the parents alone, explores their current stressors and their own history of attachment disappointments. These conversations activate parental caregiving instincts to behaviorally and emotionally protect their child, which helps motivate parents to learn and use new attachment-promoting parenting skills.
  4. Task 4: The Attachment Task, with the adolescent and parents together, creates an opportunity for the adolescent to directly express his or her thoughts and feelings about past and current relational injustices. Rather than defending themselves, parents help the adolescent fully express and explore these emotionally charged topics. This conversation helps the adolescent work through trauma, address negative patterns in the relationship, and practice new conflict resolution and emotion regulation skills.
  5. Task 5: The Autonomy Task, with the adolescent and parents together, helps consolidate the new secure base. In solving day-to-day problems, parents provide support and expectations and the adolescent seeks to develop autonomy while remaining appropriately attached to his or her parents." (http://legacy.nreppadmin.net/ViewIntervention.aspx?id=314)