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Background: There is limited Australian research investigating health practitioner knowledge and/or confidence in the diagnosis and treatment of mental health disorders in people with intellectual disabilities (IDs). Method: Ninety-three health practitioners from four professional groups (primary health practitioners, psychologists, mental health practitioners, and alternative therapies) completed a 34-item online survey comprising questions designed to identify participant knowledge of disorders described in the Psychiatric Assessment Schedule for Adults with Developmental Disabilities and the Therapy Confidence Scale-Intellectual Disabilities. Results: Participants demonstrated low knowledge of symptomology and were "moderately confident" to "confident" working with people with IDs. Whilst professional group showed a significant main effect on confidence levels, post-hoc analysis did not detect significant differences between the individual professional groups. Conclusions: Australian participants demonstrated confidence, but low knowledge, in treating individuals with IDs. The development of training to address deficits in practitioner knowledge of symptomology, assessment, and assessment-based communication is recommended.

Field education is the most challenging aspect of social work education and there are unprecedented challenges currently measuring good practice with quality outcomes. Thus, it's important to have competency-based key performance indicators (KPIs) to assess social work professional practice. This study is a national, mixed-methods Delphi research study with three rounds. Round 1 required participants (N=46) to provide open-text qualitative responses on how to assess students' competency on placement, meeting core social work values and ethics. In round 2, participants' responses (N=59) were analyzed in relation to AASW Practice Standards. The final round, consensus was obtained from participants (N=71) with 31 KPIs receiving participant agreement. Establishing national agreed-on KPIs is an essential step in maintaining consistency across diverse placement sites. [ABSTRACT FROM AUTHOR]

People with an Intellectual Disability (ID) are around 4 times more likely to suffer with a mental health disorder than IQ-typical people, however previous studies have shown they may be less likely to be diagnosed. One suggested cause of this is the diagnostic overshadowing bias: the tendency for practitioners to attribute unusual behaviour, thoughts or feelings to a person's ID and not a separate mental health disorder.In the current study N = 87 participants were randomly assigned 1 of 2 clinical vignettes describing a client who is displaying symptoms of mental health disorder. Vignette 1 described a client with an IQ of 105 who graduated from high school. Vignette 2 described a client with an IQ of 55 who attended special classes throughout school. All other details were identical. Participants then rated the likelihood of 7 diagnoses on a 5-point Likert scale.Contrary to our hypothesis participants were not less likely to diagnose a mental health disorder in people with an ID and this was found to exist across all profession types involved in the study.Although these findings indicate that the diagnostic overshadowing bias may not be present in Australia, several factors including a reported lack of confidence in working with clients with an ID suggest the inclusion of ID specific training may be beneficial.

This research explores the use of simulation technology in supporting and preparing social work students (n = 336) for core professional skills needed for practice. This study utilized a randomized experimental design using a 3 × 3 between-subjects design to assess the impact of the type of simulation (e.g. traditional written case studies, video-based simulations, and live actor simulations) and type of scenario (e.g. family/domestic violence, suicide/mental health and hospital/medical) on social work student's ability to undertake a psychosocial assessment. Results showed that students developed more comprehensive psychosocial assessments when presented with video simulations compared to traditional methods, using actors or written case studies. This research builds evidence for social work to embrace the use of simulation to develop these skills for students in a practice setting that removes not only the fear of doing harm but also the real possibility of harm in complex scenarios. Social work field education is under increasing pressure to meet professional standards, especially with the impact of the COVID pandemic. Thus, the profession must consider alternatives for training students including utilizing technology. While many other professional disciplines incorporated the use of simulation in training, social work has been slow to embrace this trend while favoring traditional teaching methods. [ABSTRACT FROM AUTHOR]

Social work field education is facing unprecedented challenges (e.g., increasing student numbers and limited availability of complex scenario placements due to the COVID pandemic). Students need skills in complex scenarios, but exposure to these situations are limited in available placements. This article explored the literature on using simulation in Australian social work education and addressed the challenges and opportunities surrounding this emerging technology. The results revealed a significant gap in the literature on simulation in social work education, which supports the need for exploring and testing authentic simulation-based learning. Effective methods to assess and support students' practice competencies are critical for ethical and effective pedagogies. IMPLICATIONS Social work students often embark upon placement without an opportunity to develop skills in an authentic scenario, resulting in the potential risk of students being inadequately prepared. The social work profession must prepare for a new COVID reality where face-to-face field practicums with clients may not be possible. Research has shown that social work students are often not provided with the opportunity to engage in complex direct practice situations. [ABSTRACT FROM AUTHOR]

Given the change in social work education due to COVID-19, the use of simulation within social work field education provides a strategy to assist with skill development and training. The purpose of this study was to explore how simulation was utilised during COVID-19. A mixed-methods online survey was sent to social work academics and field educators within Australia (n = 33). Barriers to using simulation included costs, lack of expertise, technology, concerns regarding the limiting of student's real-world practice opportunities and accreditation issues. The inclusion of simulation in field education has promise in skill development and allows student exposure to complex scenarios. [ABSTRACT FROM AUTHOR]

Purpose The purpose of this paper is to summarise the initial experiences of Australia’s National Disability Insurance Scheme (NDIS). It highlights some of the main challenges being faced by participants, service providers and government, and demonstrates how research can contribute to the ongoing implementation and success of the scheme.Design/methodology/approach The historical basis for the need for a new approach to disability funding in Australia is explored. The opportunities that exist and the difficulties that are being encountered by those entering and working within the new scheme are discussed.Findings Several problems were identified including difficult transitions between existing support frameworks to new “NDIS plans”, and the risk of market failure. Both the problems and their solutions are discussed and it is hoped that collaboration between the Commonwealth Government, service users, their families, service providers and universities can lead to a number of lasting improvements.Practical implications The new funding framework provides exciting opportunities for increasing the funding of people with intellectual and physical disabilities in Australia. Developments in technology, service provision in rural and remote areas and the opportunity to meet aspirational life goals exist alongside a number of challenges, including the need to ensure that those with multiple and complex disabilities retain existing levels of support.Originality/value The implementation of the NDIS is still underway, and opportunities exist to implement changes to the scheme where required. Research findings have an important role to play in the national debate regarding how best to improve quality of life for people with a disability in Australia. [ABSTRACT FROM AUTHOR]